Organization Active NPI

Beth Barta LCSW Cac 111 LLC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1427464932
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992831 Issued in CO
Legal business name
BETH BARTA LCSW CAC 111 LLC
Practice address
1750 N Lafayette St
Denver, CO 80218-1117
Phone
(209) 266-7667
Fax
(720) 386-9758
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Bethany Ann Barta
Title
Owner
Phone
(720) 926-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 992831 CO Primary

Addresses

Primary practice location

1750 N Lafayette St
Denver, CO 80218-1117

Mailing address

PO Box 181884
Denver, CO 80218-8835
Phone (303) 246-3219

Other practice location 1

739 N Sherman St
Denver, CO 80203-3519
Phone (720) 926-6766 ext. 800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119002692 CO Part B Supplier - Clinic/Group Practice 8628503208 Receives reassigned benefits from 3 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

739 N Sherman St
Denver, CO 80203
Phone (720) 926-6766

1750 N Lafayette St
Denver, CO 80218
Phone (720) 926-6766

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1427464932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181884",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802188835",
            "telephone_number": "303-246-3219",
            "fax_number": "720-386-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181117",
            "telephone_number": "209-266-7667",
            "fax_number": "720-386-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 N Sherman St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802033519",
            "country_code": "US",
            "telephone_number": "720-926-6766 x800",
            "fax_number": "720-386-9758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETH BARTA LCSW CAC 111 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BARTA",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-926-6766"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.