NPIMap

Organization Active NPI

Thornwoodwellnessllc

  • Clinical Social Worker
  • Louisville, CO
National Provider Identifier
1467153809
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THORNWOODWELLNESSLLC
Practice address
225 W S Boulder Rd Ste 103
Louisville, CO 80027-1194
Phone
(720) 868-9641
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
David Brunick
Title
Owner
Phone
(720) 470-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

225 W S Boulder Rd Ste 103
Louisville, CO 80027-1194

Mailing address

225 W S Boulder Rd Ste 103
Louisville, CO 80027-1194
Phone (720) 868-9641

Other names 2

  • Ellie Mental Health Doing business as
  • Ellie Mental Health - Louisville CO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724002901 CO Part B Supplier - Clinic/Group Practice 4284094137 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Loveland, CO; Louisville, CO; Longmont, CO; Fort Collins, CO; Denver, CO; Greeley, CO; Broomfield, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Thornwoodwellnessllc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1075 W Horsetooth Rd
Unit 200
Fort Collins, CO 80526
Phone (303) 653-4395

225 W South Boulder Rd
Ste 103
Louisville, CO 80027
Phone (720) 709-2810

225 W South Boulder Rd
Louisville, CO 80027

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1467153809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W S BOULDER RD STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271194",
            "telephone_number": "720-868-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W S BOULDER RD STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271194",
            "telephone_number": "720-868-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNWOODWELLNESSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "BRUNICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-470-4522"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health - Louisville CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.