Active NPI
Heather Brooke Menzie, MA, LCPI
- Clinical Social Worker
- Durango, CO
National Provider Identifier
1093958340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7102936-6009
- Practice address
- 466 South Sky Lane Dr.
Open Sky Wilderness Therapy
Durango, CO 81302 - Phone
- (970) 382-8181
- Fax
- (970) 382-9494
- NPI assigned
- Apr 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7102936-6009 | UT | Primary |
Addresses
Primary practice location
466 South Sky Lane Dr.
Open Sky Wilderness Therapy
Durango, CO 81302
Mailing address
PO Box 2201
Open Sky Wilderness Therapy
Durango, CO 81302
Phone (970) 382-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7102936-6009 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acf Enterprises, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Open Sky Wilderness Therapy
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Durango, CO
- NPI 1487808713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1093958340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2201",
"address_2": "OPEN SKY WILDERNESS THERAPY",
"city": "DURANGO",
"state": "CO",
"postal_code": "81302",
"telephone_number": "970-382-8181",
"fax_number": "970-382-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 SOUTH SKY LANE DR.",
"address_2": "OPEN SKY WILDERNESS THERAPY",
"city": "DURANGO",
"state": "CO",
"postal_code": "81302",
"telephone_number": "970-382-8181",
"fax_number": "970-382-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENZIE",
"first_name": "HEATHER",
"middle_name": "BROOKE",
"credential": "MA, LCPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "7102936-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
- Britney Nicole Meiers, LCSW
- Susan Leigh Falkenstein Meigs, LSW
- Renee Robichaux Melancon, PA
- Meltdown Bodyworks LLC
- Anne Rachel Mengers, PHARMD
- Mercy Medical Center of Durango (Mercy Regional Medical Center Diagnostic Services)
- Mercy Regional Medical Center
- Mercy Regional Medical Center of Durango (Inpatient Physician Services)
- Mercy Regional Medical Center of Durango (Durango Nephrology Associates)
- Mercy Regional Medical Center of Durango (Four Corners Infectious Disease & Internal Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.