NPIMap

Organization Active NPI

Kids Crossing

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1962083667
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIDS CROSSING
Practice address
5040 Corporate Plaza Dr Ste 7E
Colorado Springs, CO 80919-6100
Phone
(719) 249-7896
NPI assigned
Apr 15, 2021
Organization subpart
Yes
Parent organization
KIDS CROSSINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Hilary Bridges, LPC
Title
Assistant Executive Director
Phone
(719) 667-7063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5040 Corporate Plaza Dr Ste 7E
Colorado Springs, CO 80919-6100

Mailing address

1440 E Fountain Blvd
Colorado Springs, CO 80910-3502
Phone (719) 632-4569

Other identifiers 1

IdentifierTypeStateIssuer
9000176191MedicaidCO

Other names 1

  • Mind Reneural Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kids Crossing8 organizations share this tax ID, including this one
Part of
Kids Crossing

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5040 Corporate Plaza Dr
Ste 7E
Colorado Springs, CO 80919
Phone (719) 249-7896

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1962083667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E FOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103502",
            "telephone_number": "719-632-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CORPORATE PLAZA DR STE 7E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196100",
            "telephone_number": "719-249-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CROSSING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS CROSSING",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-667-7063",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176191",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Reneural",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 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.