Individual provider Active NPI

Ashley Larsen, LCSW

  • Clinical Social Worker
  • Parker, CO
National Provider Identifier
1134527104
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928544 Issued in CO
Practice address
19641 E Parker Square Dr Ste J
Parker, CO 80134-7397
Phone
(720) 340-7000
Fax
(720) 764-7494
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0997977 CO
Mental Health Counselor 101YM0800X NLC.0103393 CO
Mental Health Counselor 101YM0800X CSW.09928544 CO
Clinical Social Worker 1041C0700X CSW.09928544 CO Primary

Addresses

Primary practice location

19641 E Parker Square Dr Ste J
Parker, CO 80134-7397

Mailing address

19641 E Parker Square Dr Ste J
Parker, CO 80134-7397
Phone (720) 340-7000

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
I20221101001394 CO Practitioner - Clinical Social Worker 2466829684 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACC.0997977COMDAddiction (Substance Use Disorder) Counselor
NLC.0103393COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC CurrentSince Oct 19, 2022 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Oct 27, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Oct 27, 2023 Accepting new patients
Achieve Whole Recovery, PC Current Accepting new patients
Achieve Whole Recovery, PC CurrentSince Oct 19, 2022 Accepting new patients
Turecek PLLC Dba Raft Counseling Addiction (Substance Use Disorder) PastSince Oct 2, 2022 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

Organizations & group practices 6

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1134527104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19641 E PARKER SQUARE DR STE J",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347397",
            "telephone_number": "720-340-7000",
            "fax_number": "720-764-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19641 E PARKER SQUARE DR STE J",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347397",
            "telephone_number": "720-340-7000",
            "fax_number": "720-764-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0997977",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0103393",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW.09928544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.