Amanda Gabrielle Kacena

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09925411 Issued in CO

Practice address

108 W Ohio Ave # B
Fountain, CO 80817-2240

Phone

(719) 695-0044

NPI assigned

Jun 18, 2010

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities of Central Colorado IncGroup PAC ID 5193167534, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Catholic Charities of Central Colorado Inc

  • Counselor
  • Colorado Springs, CO
  • NPI 1790562833

  CO

  Medicare reassignment Care Compare group NPD
• Catholic Charities of Central Colorado Inc

  • Counselor
  • Colorado Springs, CO
  • NPI 1104603802
  NPD (past)
• Catholic Charities of Central Colorado Inc

  • Counselor
  • Castle Rock, CO
  • NPI 1912784067
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1447571807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SHOREHAM CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064421",
            "telephone_number": "312-590-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W OHIO AVE # B",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808172240",
            "telephone_number": "719-695-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACENA",
        "first_name": "AMANDA",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatarie Johnson
• Thomas G Johnson, MD
• Chelsea Curry Jordan, DDS
• Jacquita Jordan, FNP-BC, PMHNP-BC
• Just for Grins LLC
• Jiro Kameoka, O.D.
• Olivia Kearbey
• Lindsay Kay Kearns, SLP
• Bailey Keller
• Isabella Kevorkian

• All providers in Fountain, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.