Individual provider Active NPI

Ellen Patricia Feighny, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1073947420
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924184 Issued in CO
Practice address
667 Bannock
Unit 9 Pav K Mail Code 3450
Denver, CO 80204
Phone
(303) 602-4868
Fax
(303) 436-6627
NPI assigned
Aug 21, 2013
Last updated
Mar 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0000534 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000534 CO
Social Worker 104100000X LSW.0009920037 CO
Clinical Social Worker 1041C0700X 3324184 CO
Clinical Social Worker 1041C0700X 09924184 CO Primary

Addresses

Primary practice location

667 Bannock
Unit 9 Pav K Mail Code 3450
Denver, CO 80204

Mailing address

1811 S Quebec Way Apt 177
Denver, CO 80231-2674
Phone (720) 271-5621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ellen.feighny@dhha.org Direct

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
I20160127002497 CO Practitioner - Clinical Social Worker 1153624978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000534COMDAddiction (Substance Use Disorder) Counselor
LSW.0009920037COMDSocial Worker
09924184COMDClinical Social Worker
3324184COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mandala, LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

3955 E Exposition Ave
Ste 50011
Denver, CO 80209
Phone (720) 432-8274

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1073947420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S QUEBEC WAY APT 177",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312674",
            "telephone_number": "720-271-5621",
            "fax_number": "303-889-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 BANNOCK",
            "address_2": "UNIT 9 PAV K MAIL CODE 3450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-602-4868",
            "fax_number": "303-436-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIGHNY",
        "first_name": "ELLEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0000534",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000534",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009920037",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "3324184",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellen.feighny@dhha.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "667 Bannock",
            "address_2": "Unit 9 Pav K Mail Code 3450",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.