Individual provider Active NPI

Carla Tungate

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1427616804
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927293 Issued in CO
Practice address
736 Whalers Way Ste F200
Fort Collins, CO 80525-4888
Phone
(970) 893-0978
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927293 CO Primary

Addresses

Primary practice location

736 Whalers Way Ste F200
Fort Collins, CO 80525-4888

Mailing address

3643 Arctic Fox Dr
Fort Collins, CO 80525-3541
Phone (970) 893-0978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09927293COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Attuned Connections Counseling LLC Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

736 Whalers Way
Ste F200
Fort Collins, CO 80525
Phone (970) 893-0978

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1427616804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 ARCTIC FOX DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253541",
            "telephone_number": "970-893-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 WHALERS WAY STE F200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254888",
            "telephone_number": "970-893-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGATE",
        "first_name": "CARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.