Andrew Klobuchar, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

834 S Sherman St
Longmont, CO 80501-6323

Phone

(724) 777-4128

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perkins Counseling and Psychological Services, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
  • NPI 1750641213
  Medicare reassignment NPD

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1316405053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 S SHERMAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 S SHERMAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016323",
            "telephone_number": "724-777-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOBUCHAR",
        "first_name": "ANDREW",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Melissa Kleeman, LCSW
• Hannah Kay Klein, M.S., BCBA
• Sarah Klein
• Robin Alyse Kleisler, MA, LPC, MAC, LAC
• Adena Kling, LCSW
• Sharon R Kloepfer, PA
• Gavin Randy Kloulubak, PHARMD
• Sydney Knadler, PT, DPT
• Kurt Winston Knechtel, DMD
• Wyatt J Knechtel, DMD

• Mental Health Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.