Joshua Aevum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09923557 Issued in CO

Practice address

445 East Cheyenne Mt. Blvd
Ste C PMB #153
Colorado Springs, CO 80906-4570

Phone

(719) 425-5026

NPI assigned

Aug 7, 2018

Reactivated

Sep 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, TX, FL3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Clinical, CO, FL, TX

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CO, FL, TX

  Medicare reassignment NPD
• Broadmoor Bluffs Counseling

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1740062967

  Clinical

  NPD Authorized official
• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410

  Clinical

  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1972082303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 EAST CHEYENNE MT. BLVD",
            "address_2": "STE C PMB #153",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064570",
            "telephone_number": "171-942-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 EAST CHEYENNE MT. BLVD",
            "address_2": "STE C PMB #153",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064570",
            "telephone_number": "719-425-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AEVUM",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2019-09-18",
        "deactivation_date": "2019-01-09",
        "reactivation_date": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aegis Therapies - Colorado Rehab LLC
• Aerocare Holdings LLC
• Aerocare Holdings, Inc
• Aesthetic Injectables, LLC Dba Sigma Wellness & Performance Medicine
• Aesthetics Counseling, PLLC
• Affiliates in Oral & Maxillofacial Surgery,P.C.
• Affinity Therapy Services LLC
• Affordable Dentures & Implants - Colorado Springs II, P.C.
• Affordable Dentures & Implants - Colorado Springs III, P.C.
• Ag Ventures LLC

• All providers in Colorado Springs, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.