Healthcare Provider Details

I. General information

NPI: 1922886076
Provider Name (Legal Business Name): RICH CHENG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6510 S ACADEMY BLVD STE A651
COLORADO SPRINGS CO
80906-8614
US

IV. Provider business mailing address

6510 S ACADEMY BLVD STE A651
COLORADO SPRINGS CO
80906-8614
US

V. Phone/Fax

Practice location:
  • Phone: 720-651-9233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09929494
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: