Organization Active NPI

Soul Dogs Inc

  • Voluntary or Charitable Agency
  • Westminster, CO
National Provider Identifier
1851946099
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
SOUL DOGS INC
Practice address
5005 W 81St PL Unit 200
Westminster, CO 80031-4380
Phone
(303) 250-2785
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Dr. Christian Anderson, PHD ACSW LCSW CCTSNPI 1427454289
Title
Executive Director
Phone
(303) 250-2785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

5005 W 81St PL Unit 200
Westminster, CO 80031-4380

Mailing address

5005 W 81St PL Unit 200
Westminster, CO 80031-4380
Phone (303) 250-2785

Other identifiers 1

IdentifierTypeStateIssuer
9000178708MedicaidCO

National Provider Directory

National Provider Directory

Locations

5005 W 81st Pl
Unit 200
Westminster, CO 80031
Phone (303) 250-2785

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1851946099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 W 81ST PL UNIT 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314380",
            "telephone_number": "303-250-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 W 81ST PL UNIT 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314380",
            "telephone_number": "303-250-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL DOGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-250-2785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD ACSW LCSW CCTS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000178708",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.