Dasha Kotalik, LCSW, CACII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09924253 Issued in CO

Practice address

10500 Smith Rd
Denver, CO 80239-3232

Phone

(720) 913-3789

NPI assigned

Jul 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polaris Partners Counseling and Consulting LLCGroup PAC ID 2769892538, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1346849841

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Polaris Partners Counseling and Consulting LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1023974599
  NPD
• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1962172635

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1285086215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802011108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 SMITH RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393232",
            "telephone_number": "720-913-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTALIK",
        "first_name": "DASHA",
        "credential": "LCSW, CACII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0007722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Rudolf Kostbade
• Bradley Koster
• Mari Claire Koster
• Adam G Koszowski, MD, PHD
• Susan Kotake, M.D.
• Lena Frederica Kotani
• Susan Deanne Kotelnicki, PTA
• Kotillo Blessing Care LLC
• Gregory Raphael Kotnis, MD
• Isabella Kotnour, LPC

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.

Verify at the official NPI Registry.