Organization Active NPI

Ponderosa Sky Counseling LLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1992361679
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 17, 2019

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.