Individual provider Active NPI

Jessica Reilly, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1194238675
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
17145 E Chenango Ave Unit a
Aurora, CO 80015-5506
Phone
(619) 920-0800
NPI assigned
Nov 7, 2017
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

17145 E Chenango Ave Unit a
Aurora, CO 80015-5506

Mailing address

17145 E Chenango Ave Unit a
Aurora, CO 80015-5506
Phone (619) 920-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231115000204 CO Practitioner - Clinical Social Worker 8527415405 Reassigns benefits to 1 organization
I20231115001106 MN Practitioner - Clinical Social Worker 8527415405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Twin Cities Psychological Services LTDGroup PAC ID 1759506637, 5 clinicians

Practice addresses (Care Compare)

825 Nicollet Mall
Suite 1455
Minneapolis, MN 55402-2703
Phone (612) 345-5194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curiosity Alliance, PC CurrentSince Nov 1, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Oct 16, 2023 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

825 Nicollet Mall
Ste 1455
Minneapolis, MN 55402
Phone (612) 293-0594

Organizations & group practices 3

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1194238675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17145 E CHENANGO AVE UNIT A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155506",
            "telephone_number": "619-920-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17145 E CHENANGO AVE UNIT A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155506",
            "telephone_number": "619-920-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.