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RESILIENT TRAILS THERAPEUTIC SERVICES PLLC
NPI 1124798608
Social Worker - Clinical in Colorado Springs, CO

Active since September 16, 2021
2790 N ACADEMY BLVD STE 337, COLORADO SPRINGS, CO 80917(719) 301-9185 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Resilient Trails Therapeutic Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESILIENT TRAILS THERAPEUTIC SERVICES PLLC (NPI 1124798608) is a healthcare organization registered as a clinical in Colorado Springs, Colorado and active in the NPI registry since September 2021. The organization lists Tanya Balduff, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1124798608
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRESILIENT TRAILS THERAPEUTIC SERVICES PLLC
Location Address2790 N ACADEMY BLVD STE 337Colorado Springs, CO 80917-5328
Mailing Address2790 N Academy Blvd Ste 337Colorado Springs, CO 80917-5328 · (719) 301-9185
Phone(719) 301-9185
Organization SubpartNo
Authorized OfficialTanya BalduffOwner/therapist · (910) 286-5447
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 12, 2021
✔ NPI 1124798608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2790 N ACADEMY BLVD STE 337, Colorado Springs, CO 80917
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Resilient Trails Therapeutic Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Resilient Trails Therapeutic Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tanya Balduff, LCSW
Clinical Social Worker
NPI 1669981478
2790 N ACADEMY BLVD STE 337
Colorado Springs, CO 80917
(910) 286-5447
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Resilient Trails Therapeutic Services PLLC's NPI number?

The NPI number for Resilient Trails Therapeutic Services PLLC is 1124798608. It was assigned to this organization in the NPPES registry on September 16, 2021.

Where is Resilient Trails Therapeutic Services PLLC located?

Resilient Trails Therapeutic Services PLLC is located at 2790 N Academy Blvd Ste 337, Colorado Springs, CO 80917. The listed phone number is (719) 301-9185.

What is Resilient Trails Therapeutic Services PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Resilient Trails Therapeutic Services PLLC enrolled in Medicare?

Yes. Resilient Trails Therapeutic Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Resilient Trails Therapeutic Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Resilient Trails Therapeutic Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Resilient Trails Therapeutic Services PLLC was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.