Individual provider Active NPI

Miguel Angel Lopez, LCSW, LAC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1841762622
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930346 Issued in CO
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

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001680 CO
Clinical Social Worker 1041C0700X CSW.09930346 CO Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X TPSW6961 FL
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 149.027539 IL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X SWB-2025-0759 NM
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 089.0137143TELE VT
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MI-0000436 DE
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05079245MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 05079245 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL, NM, DE, VT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240509001037 CO Practitioner - Clinical Social Worker 6608217591 Reassigns benefits to 4 organizations
I20260602000751 IL Practitioner - Clinical Social Worker 6608217591 Reassigns benefits to 1 organization
I20260603000647 NM Practitioner - Clinical Social Worker 6608217591 Reassigns benefits to 1 organization
I20260616003344 DE Practitioner - Clinical Social Worker 6608217591 Reassigns benefits to 1 organization
I20260618001958 VT Practitioner - Clinical Social Worker 6608217591 Reassigns benefits to 1 organization

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
Truecare24 Physicians Group, S.C.Group PAC ID 7012308802, 26 clinicians

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

LicenseStateTypeSpecialty
149.027539ILMDCounselor
ACD.0001680COMDAddiction (Substance Use Disorder) Counselor
SWB-2025-0759NMMDMental Health Counselor
CSW.09930346COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rom 12-2 Counseling Multi-Specialty CurrentSince May 7, 2024 Accepting new patients
Truecare24 Physicians Group, S.C. Mental Health CurrentSince Nov 24, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Multi-Specialty CurrentSince Apr 11, 2024 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.

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

Verify at the official NPI Registry.