Mountain Soul Resources, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1530 Issued in CO

Legal business name

MOUNTAIN SOUL RESOURCES, INC

Practice address

812 Grand Ave
Suite 209
Glenwood Springs, CO 81601-3482

Phone

(970) 319-4013

NPI assigned

Jul 20, 2010

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheri Barger, LCSWNPI 1225338700

Title

Owner/President

Phone

(970) 319-4013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheri Barger, LCSW

  • Clinical Social Worker
  • Glenwood Springs, CO
  • NPI 1225338700
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1962715862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PARKWOOD LN",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GRAND AVE",
            "address_2": "SUITE 209",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013482",
            "telephone_number": "970-319-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SOUL RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "BARGER",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "970-319-4013",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.