Active NPI
Gage Ethan Papierski, MSW
- Social Worker
- Northglenn, CO
National Provider Identifier
1245990886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 10699 Melody Dr
Northglenn, CO 80234-4134 - Phone
- (303) 252-4179
- NPI assigned
- Dec 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
10699 Melody Dr
Northglenn, CO 80234-4134
Mailing address
1421 Bluemoon Dr
Longmont, CO 80504-1770
Phone (720) 335-3262
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 S Main St
Suite 201
Longmont, CO 80501-6461
Phone (720) 707-1806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thornwoodwellnessllc | Current | Accepting new patients | |
| Thornwoodwellnessllc | Current | Accepting new patients | |
| Thornwoodwellnessllc | Current | Accepting new patients |
Locations
275 S Main St
Ste 201
Longmont, CO 80501
Phone (303) 682-2440
225 W South Boulder Rd
Ste 103
Louisville, CO 80027
Phone (720) 709-2810
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Louisville, CO
- NPI 1467153809
-
- Mental Health Counselor
- Broomfield, CO
- NPI 1811727720
-
- Adolescent and Children Mental Health Clinic/Center
- Denver, CO
- NPI 1861220949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1245990886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 BLUEMOON DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805041770",
"telephone_number": "720-335-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10699 MELODY DR",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344134",
"telephone_number": "303-252-4179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPIERSKI",
"first_name": "GAGE",
"middle_name": "ETHAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.