Active NPI
Camille Dysart
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1891508677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009925635
- Practice address
- 157 Fontaine Blvd
Colorado Springs, CO 80911-2110 - Phone
- (719) 388-3558
- NPI assigned
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009925635 | CO | Primary |
Addresses
Primary practice location
157 Fontaine Blvd
Colorado Springs, CO 80911-2110
Mailing address
839 E Willamette Ave
Colorado Springs, CO 80903-2804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009925635 | CO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Counseling Services | Current | Accepting new patients | |
| Nexus Counseling Services | Current | Accepting new patients |
Locations
157 Fontaine Blvd
Colorado Springs, CO 80911
Phone (719) 388-3558
Organizations & group practices 2
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.
-
- Professional Counselor
- Fountain, CO
- NPI 1174377857
-
- Professional Counselor
- Fountain, CO
- NPI 1861198566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1891508677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 E WILLAMETTE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809032804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 FONTAINE BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809112110",
"telephone_number": "719-388-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYSART",
"first_name": "CAMILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009925635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.