Active NPI
Nicholas Robert Fry
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1972223923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09928253
- Practice address
- 1880 Office Club PT Ste 124
Colorado Springs, CO 80920-5012 - Phone
- (719) 357-6580
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09928253 | CO | Primary |
Addresses
Primary practice location
1880 Office Club PT Ste 124
Colorado Springs, CO 80920-5012
Mailing address
1880 Office Club PT Ste 124
Colorado Springs, CO 80920-5012
Phone (719) 357-6580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09928253 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uncommon Heart PLLC | Mental Health | Current | Accepting new patients |
Locations
1880 Office Club Pt
Ste 124
Colorado Springs, CO 80920
Phone (719) 357-6580
525 N Cascade Ave
#209
Colorado Springs, CO 80903
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": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1972223923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 OFFICE CLUB PT STE 124",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809205012",
"telephone_number": "719-357-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 OFFICE CLUB PT STE 124",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809205012",
"telephone_number": "719-357-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "NICHOLAS",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09928253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.