Organization Active NPI

Leigh Reineke Therapy, LLC

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1043082266
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEIGH REINEKE THERAPY, LLC
Practice address
1315 Oakridge Dr Ste 100
Fort Collins, CO 80525-7338
Phone
(970) 889-1910
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leigh Reineke, LCSWNPI 1962074427
Title
Owner
Phone
(970) 999-4816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1315 Oakridge Dr Ste 100
Fort Collins, CO 80525-7338

Mailing address

1945 Blue Yonder Way
Fort Collins, CO 80525-1974

Other practice location 1

1945 Blue Yonder Way
Fort Collins, CO 80525-1974
Phone (970) 889-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021000763 CO Part B Supplier - Clinic/Group Practice 3678005295 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

1315 Oakridge Dr
Ste 100
Fort Collins, CO 80525
Phone (970) 829-1129

343 W Drake Rd
Ste 230
Fort Collins, CO 80526
Phone (970) 889-1910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1043082266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 BLUE YONDER WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 OAKRIDGE DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257338",
            "telephone_number": "970-889-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Blue Yonder Way",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251974",
            "country_code": "US",
            "telephone_number": "970-889-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEIGH REINEKE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "REINEKE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-999-4816",
        "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 Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.