Individual provider Active NPI

Adam Thomas Colson, LCSW

  • Mental Health Counselor
  • West Hollywood, CA
National Provider Identifier
1912692286
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21017 Issued in CA
Practice address
1152 Greenacre Ave
West Hollywood, CA 90046-5706
Phone
(310) 850-2379
NPI assigned
Apr 11, 2023
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21017 CA Primary

Addresses

Primary practice location

1152 Greenacre Ave
West Hollywood, CA 90046-5706

Mailing address

1152 Greenacre Ave
West Hollywood, CA 90046-5706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240326001994 CA Practitioner - Clinical Social Worker 4880031830 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles LGBT Center CurrentSince Mar 13, 2024 Accepting new patients
Los Angeles LGBT Center CurrentSince Mar 13, 2024 Accepting new patients

Locations

1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400

1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1912692286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 GREENACRE AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 GREENACRE AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465706",
            "telephone_number": "310-850-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSON",
        "first_name": "ADAM",
        "middle_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "21017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.