Active NPI
Ponderosa Sky Counseling LLC
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1992361679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PONDEROSA SKY COUNSELING LLC
- Practice address
- 4230 Timber LN
Colorado Springs, CO 80908-3770 - Phone
- (719) 338-0488
- NPI assigned
- May 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Susan Daly, LCSW
- Title
- Surrogate
- Phone
- (719) 338-0488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4230 Timber LN
Colorado Springs, CO 80908-3770
Mailing address
4230 Timber LN
Colorado Springs, CO 80908-3770
Phone (719) 338-0488
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558051200000",
"number": "1992361679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 TIMBER LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809083770",
"telephone_number": "719-338-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 TIMBER LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809083770",
"telephone_number": "719-338-0488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONDEROSA SKY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-17",
"last_updated": "2019-05-17",
"status": "A",
"authorized_official_last_name": "DALY",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "SURROGATE",
"authorized_official_telephone_number": "719-338-0488",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 May 17, 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.