Individual provider Active NPI

Karen S Morgenthaler, LCSW, LAC

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1043589823
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2043 Issued in CO
Practice address
2429 S Prairie Ave
Pueblo, CO 81005-2886
Phone
(719) 564-5070
Fax
(719) 896-2874
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 214 CO
Clinical Social Worker 1041C0700X 2043 CO Primary

Addresses

Primary practice location

2429 S Prairie Ave
Pueblo, CO 81005-2886

Mailing address

2429 S Prairie Ave
Pueblo, CO 81005-2886
Phone (719) 564-5070

Other practice location 1

602 Yale Pl
Canon City, CO 81212-4611
Phone (719) 275-0700

Other practice location 2

155 Printers Pkwy
Colorado Springs, CO 80910-6100
Phone (719) 374-1650

Other identifiers 1

IdentifierTypeStateIssuer
49005740MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000247 CO Practitioner - Clinical Social Worker 7517125131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway to Success, PCGroup PAC ID 3173885670, 7 clinicians

Practice addresses (Care Compare)

2429 S Prairie Ave
Gateway to Success Pueblo MH
Pueblo, CO 81005-2886
Phone (719) 564-5070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2043COMDMental Health Counselor
214COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway to Success, PC CurrentSince Mar 1, 2013 Accepting new patients
Gateway to Success, PC CurrentSince Mar 11, 2018 Accepting new patients
Gateway to Success, PC Addiction (Substance Use Disorder) Current Accepting new patients
Gateway to Success, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients

Locations

109 Latigo Ln
Ste G
Canon City, CO 81212
Phone (719) 275-0700

602 Yale Pl
Canon City, CO 81212
Phone (719) 275-0700

155 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 374-1650

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1043589823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052886",
            "telephone_number": "719-564-5070",
            "fax_number": "719-896-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052886",
            "telephone_number": "719-564-5070",
            "fax_number": "719-896-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Yale Pl",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812124611",
            "country_code": "US",
            "telephone_number": "719-275-0700",
            "fax_number": "719-896-2874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Printers Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809106100",
            "country_code": "US",
            "telephone_number": "719-374-1650",
            "fax_number": "719-896-1650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGENTHALER",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "214",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "2043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49005740",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.