Active NPI
Miguel Angel Lopez, LCSW, LAC
- Clinical Social Worker
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09930346
- Practice address
- 1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-5221
- NPI assigned
- Dec 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001680 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09930346 | CO | Primary |
| Clinical Social Worker | 1041C0700X | TPSW6961 | FL | |
| Counselor | 101Y00000X | 149.027539 | IL | |
| Mental Health Counselor | 101YM0800X | SWB-2025-0759 | NM | |
| Clinical Social Worker | 1041C0700X | 089.0137143TELE | VT | |
| Mental Health Counselor | 101YM0800X | MI-0000436 | DE | |
| Clinical Social Worker | 1041C0700X | 1889 | SC |
Addresses
Primary practice location
1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Mailing address
660 Southpointe CT Ste 200
Colorado Springs, CO 80906-3874
Phone (719) 465-2582
Other practice location 1
8158 Watchmen Rd
Fountain, CO 80817-2702
Phone (719) 359-2476
Other practice location 2
350 Lyckman Pl
Fountain, CO 80817-2861
Phone (719) 572-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05079245 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 05079245 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IL, NM, DE, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7900 E Union Ave
Suite 1100
Denver, CO 80237-2746
Phone (206) 738-4179
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.027539 | IL | MD | Counselor |
| ACD.0001680 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| SWB-2025-0759 | NM | MD | Mental Health Counselor |
| CSW.09930346 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rom 12-2 Counseling | Multi-Specialty | Current | Accepting new patients |
| Truecare24 Physicians Group, S.C. | Mental Health | Current | Accepting new patients |
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
660 Southpointe Ct
Ste 200
Colorado Springs, CO 80906
Phone (719) 465-2582
1400 E Boulder St
Ste 700
Colorado Springs, CO 80909
Phone (719) 365-7172
1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
1560 Broadway
Denver, CO 80202
Phone (623) 363-6103
1560 Broadway
Ste 1600
Denver, CO 80202
Phone (480) 493-0900
7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
Organizations & group practices 6
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Multi-Specialty
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1841762622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 SOUTHPOINTE CT STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063874",
"telephone_number": "719-465-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST STE 2508",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-5221"
}
],
"practiceLocations": [
{
"address_1": "8158 Watchmen Rd",
"address_purpose": "LOCATION",
"city": "Fountain",
"state": "CO",
"postal_code": "808172702",
"country_code": "US",
"telephone_number": "719-359-2476",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Lyckman Pl",
"address_purpose": "LOCATION",
"city": "Fountain",
"state": "CO",
"postal_code": "808172861",
"country_code": "US",
"telephone_number": "719-572-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"name_prefix": "Mr.",
"credential": "LCSW, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-18",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001680",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09930346",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "TPSW6961",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "IL",
"license": "149.027539",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "SWB-2025-0759",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0137143TELE",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "MI-0000436",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "1889",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05079245",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "05079245",
"affiliation": "N",
"endpointDescription": "05079245",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8158 Watchmen Rd",
"city": "Fountain",
"state": "CO",
"country_code": "US",
"postal_code": "808172702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.