Individual provider Active NPI

Kristin Jarvis Marrs, LCSW

  • Clinical Social Worker
  • Castle Pines, CO
National Provider Identifier
1376914952
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925211 Issued in CO
Practice address
250 Max Dr Ste 102
Castle Pines, CO 80108-9518
Phone
(303) 649-3350
Fax
(303) 649-3378
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09925211 CO Primary
Clinical Social Worker 1041C0700X 11314 LA

Addresses

Primary practice location

250 Max Dr Ste 102
Castle Pines, CO 80108-9518

Mailing address

60 Louis Prima Dr
Covington, LA 70433-5903
Phone (985) 327-5427

Other practice location 1

60 Louis Prima Dr
Covington, LA 70433-5903
Phone (985) 327-5427

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
I20180118001420 CO Practitioner - Clinical Social Worker 8426317546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

250 Max Dr
Suite 102
Castle Pines, CO 80108-9518
Phone (303) 649-3350

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09925211COMDClinical Social Worker
11314LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince May 3, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince May 3, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients

Locations

250 Max Dr
Ste 102
Castle Pines, CO 80108
Phone (303) 649-3350

1151 Aloha St
Ste 100
Castle Rock, CO 80108
Phone (720) 330-1305

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

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.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1376914952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LOUIS PRIMA DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-327-5427",
            "fax_number": "985-327-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAX DR STE 102",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089518",
            "telephone_number": "303-649-3350",
            "fax_number": "303-649-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Louis Prima Dr",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335903",
            "country_code": "US",
            "telephone_number": "985-327-5427",
            "fax_number": "985-327-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRS",
        "first_name": "KRISTIN",
        "middle_name": "JARVIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925211",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

Verify at the official NPI Registry.