Individual provider Active NPI

Elena K Mogensen, MSW

  • Social Worker
  • Meeker, CO
National Provider Identifier
1417135013
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
988005 Issued in CO
Practice address
685 Main St.
Ste. 5-B
Meeker, CO 81641
Phone
(970) 878-9935
Fax
(970) 878-9970
NPI assigned
Feb 6, 2008
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 988005 CO Primary

Addresses

Primary practice location

685 Main St.
Ste. 5-B
Meeker, CO 81641

Mailing address

PO Box 777
Meeker, CO 81641-0777
Phone (970) 878-9935

Other names 1

  • Elena Theos Former name

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
I20050913000678 CO Practitioner - Clinical Social Worker 5890728612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

685 Main St
Suite 5B
Meeker, CO 81641
Phone (970) 878-9935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
988005COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ute Crossing Counseling LLC CurrentSince Dec 26, 2013 Accepting new patients

Organizations & group practices 1

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1417135013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816410777",
            "telephone_number": "970-878-9935",
            "fax_number": "970-878-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 MAIN ST.",
            "address_2": "STE. 5-B",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "81641",
            "telephone_number": "970-878-9935",
            "fax_number": "970-878-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGENSEN",
        "first_name": "ELENA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "988005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "THEOS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meeker, CO

Sources for this page

Verify at the official NPI Registry.