Individual provider Active NPI

Charles Noel, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1831574920
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6073 Issued in TN
Practice address
1045 Garden of the Gods Rd Ste F
Colorado Springs, CO 80907-3436
Phone
(423) 943-7312
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X A-3162179
Clinical Social Worker 1041C0700X 6073 TN Primary

Addresses

Primary practice location

1045 Garden of the Gods Rd Ste F
Colorado Springs, CO 80907-3436

Mailing address

1045 Garden of the Gods Rd Ste F
Colorado Springs, CO 80907-3436

Other practice location 1

116A W 7th St
Columbia, TN 38401-3214
Phone (423) 943-7312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002274 CO Practitioner - Clinical Social Worker 2062852775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6073TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Effect, LLC Health & Wellness Coach CurrentSince Apr 14, 2024 Accepting new patients

Locations

1045 Garden of the Gods Rd
Ste F
Colorado Springs, CO 80907
Phone (423) 943-7312

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1831574920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 GARDEN OF THE GODS RD STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 GARDEN OF THE GODS RD STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073436",
            "telephone_number": "423-943-7312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116A W 7th St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384013214",
            "country_code": "US",
            "telephone_number": "423-943-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOEL",
        "first_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": "A-3162179",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.