Mission Possible

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

MISSION POSSIBLE

Practice address

1520 N Union Blvd Ste 204
Colorado Springs, CO 80909-2840

Phone

(719) 635-9100

NPI assigned

Dec 20, 2019

Organization subpart

No

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

Authorized official

Name

Palmer Johnson

Title

LCSW

Phone

(719) 492-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mission Possible3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mission Possible

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1477064590
  NPD tax ID
• Mission Possible

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1750250569
  NPD tax ID

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1982242970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809320100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N UNION BLVD STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092840",
            "telephone_number": "719-635-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION POSSIBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PALMER",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "719-492-9100"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000156387",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Misko
• Ashley Missig
• Missing Piece Counseling Services, LLC
• Mission Possible
• Mission Possible
• Missions Behavioral Health
• Shawna M Mistretta, R.N.
• Misty Mountain Medicine
• Kristopher Jeffery Mitcell
• Jason Paul Mitcham, C.PED

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.