Individual provider Active NPI

Terri Lynn Rommel-Ruiz, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1881363844
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926819 Issued in CO
Practice address
5353 N Union Blvd Ste 202
Colorado Springs, CO 80918-2069
Phone
(970) 310-3406
NPI assigned
Sep 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09926819 CO Primary

Addresses

Primary practice location

5353 N Union Blvd Ste 202
Colorado Springs, CO 80918-2069

Mailing address

1383 Lindenwood GRV
Colorado Springs, CO 80907-7605
Phone (719) 338-0127

Other practice location 1

5350 Tomah Dr Ste 3600
Colorado Springs, CO 80918-6991
Phone (970) 310-3406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211117000936 CO Practitioner - Clinical Social Worker 1850780651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1770 25TH Ave
Suite 206
Greeley, CO 80634-4949
Phone (970) 310-3406

5265 N Academy Blvd
Suite 2600
Colorado Springs, CO 80918-4081
Phone (970) 310-3406

5353 N Union Blvd
Suite 202
Colorado Springs, CO 80918-2069
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09926819COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health Current Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Nov 1, 2021 Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Nov 1, 2021 Accepting new patients

Locations

5353 N Union Blvd
Ste 202
Colorado Springs, CO 80918
Phone (530) 318-4357

5265 N Academy Blvd
Ste 2600
Colorado Springs, CO 80918
Phone (719) 243-1970

5350 Tomah Dr
Ste 3600
Colorado Springs, CO 80918
Phone (719) 201-4245

320 W Olive St
Fort Collins, CO 80521
Phone (603) 361-7093

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 3

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": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1881363844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 LINDENWOOD GRV",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077605",
            "telephone_number": "719-338-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 N UNION BLVD STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182069",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Tomah Dr Ste 3600",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186991",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMMEL-RUIZ",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.