Organization Active NPI

Quiet Spirit Counseling Professional LLC

  • Clinical Social Worker
  • Castle Rock, CO
National Provider Identifier
1457080202
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
QUIET SPIRIT COUNSELING PROFESSIONAL LLC
Practice address
751 Maleta LN Ste 202
Castle Rock, CO 80108-7607
Phone
(719) 201-7397
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Marian Lin Mondy, LCSWNPI 1952955403
Title
Owner
Phone
(719) 201-7397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

751 Maleta LN Ste 202
Castle Rock, CO 80108-7607

Mailing address

2371 Morningview LN
Castle Rock, CO 80109-3708
Phone (719) 201-7397

Other practice location 1

4975 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5043
Phone (719) 201-7397

Other identifiers 1

IdentifierTypeStateIssuer
CSW.09925256OtherCODORA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220801001923 CO Part B Supplier - Clinic/Group Practice 0345622890 Receives reassigned benefits from 1 practitioner
Practice locations: Castle Rock, CO; Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Quiet Spirit Counseling Professional LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1457080202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 MORNINGVIEW LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093708",
            "telephone_number": "719-201-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MALETA LN STE 202",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087607",
            "telephone_number": "719-201-7397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4975 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185043",
            "country_code": "US",
            "telephone_number": "719-201-7397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUIET SPIRIT COUNSELING PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "MONDY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-201-7397",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "CSW.09925256",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.