Jenna Ranae Kapp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09928909 Issued in CO

Practice address

3658 N Perry Park Rd
Sedalia, CO 80135-8601

Phone

(970) 531-6470

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Mane Mission

  • Community/Behavioral Health Agency
  • Sedalia, CO
  • NPI 1396497590
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1053918326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 E UTAH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224425",
            "telephone_number": "515-494-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 N PERRY PARK RD",
            "city": "SEDALIA",
            "state": "CO",
            "postal_code": "801358601",
            "telephone_number": "970-531-6470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4318 E Utah Pl",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802224425",
            "country_code": "US",
            "telephone_number": "515-494-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPP",
        "first_name": "JENNA",
        "middle_name": "RANAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009922611",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Feeney, M.D.
• Karen Lorrine Foxhoven, R.D.
• Kimberly M. Hoffman, DNP,CNM,FNP-C, ENP-C
• Jackson 105 Fire Protection District
• Sheri Lynn Kaiser, RN
• Samantha Kostamo, LPCC MA
• Lois McLauchlan
• Amber Melville
• Mo Smiles LLC
• Kathleen Odekirk

• All providers in Sedalia, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.