Individual provider Active NPI

Kae'Vionna Cole, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1942021423
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09932875 Issued in CO
Practice address
8585 Criterion Dr Unit 62092
Colorado Springs, CO 80962-1014
Phone
(719) 204-6223
NPI assigned
Oct 18, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWC.0000000880 CO
Clinical Social Worker 1041C0700X CSW.09932875 CO Primary

Addresses

Primary practice location

8585 Criterion Dr Unit 62092
Colorado Springs, CO 80962-1014

Mailing address

8585 Criterion Dr Unit 62092
Colorado Springs, CO 80962-1014
Phone (719) 204-6223

Other practice location 1

6071 E Woodmen Rd Ste 325
Colorado Springs, CO 80923-2612
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
I20260331002433 CO Practitioner - Clinical Social Worker 8426533126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

6071 E Woodmen Rd
Suite 325
Colorado Springs, CO 80923-2612
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWC.0000000880COMDSocial Worker
CSW.09932875COMDClinical Social Worker

Organizations & group practices 1

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1942021423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 CRITERION DR UNIT 62092",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809621014",
            "telephone_number": "719-204-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 CRITERION DR UNIT 62092",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809621014",
            "telephone_number": "719-204-6223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 E Woodmen Rd Ste 325",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232612",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "KAE'VIONNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-10-18",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "SWC.0000000880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.