5280 Sports Counseling
NPI 1164260782ActiveOrganization· Social Worker, Clinical· Aurora, CO
Social Worker, Clinical in Aurora, Colorado, registered in NPPES in July 2024. The authorized official on file is Sollita Lucero, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164260782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2024 |
| Last updated in NPPES | Oct 25, 2026 |
| Certified by provider | Oct 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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