Individual provider Active NPI

Jennifer Marie Silva, LCSW, LAC

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1477146181
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927746 Issued in CO
Practice address
2850 McClelland Dr Ste 3400
Fort Collins, CO 80525-2572
Phone
(303) 345-8004
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001781 CO
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LSW.0009922734 CO
Clinical Social Worker 1041C0700X CSW.09927746 CO Primary

Addresses

Primary practice location

2850 McClelland Dr Ste 3400
Fort Collins, CO 80525-2572

Mailing address

551 Peyton Dr
Fort Collins, CO 80525-8263
Phone (303) 345-8004

Other practice location 1

551 Peyton Dr
Fort Collins, CO 80525-8263
Phone (303) 345-8004

Other names 1

  • Jennifer Marie Compton Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rpmcounseling@outlook.com Direct
Other URL Theranest Health Information Exchange (HIE) Polaris Partners Counseling and Consulting LLC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240502002130 CO Practitioner - Clinical Social Worker 9335589753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001781COMDAddiction (Substance Use Disorder) Counselor
LSW.0009922734COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Partners Counseling and Consulting LLC CurrentSince Mar 25, 2024 Accepting new patients
Polaris Partners Counseling and Consulting LLC Clinical CurrentSince Mar 25, 2024 Accepting new patients
Polaris Partners Counseling and Consulting LLC Addiction (Substance Use Disorder) Current Accepting new patients
Polaris Partners Counseling and Consulting LLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

155 S Madison St
Ste 306
Denver, CO 80209
Phone (970) 576-1717

2850 McClelland Dr
Ste 3400
Fort Collins, CO 80525
Phone (303) 345-8004

300 E Horsetooth Rd
Ste 200
Fort Collins, CO 80525
Phone (405) 474-4833

Organizations & group practices 4

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1477146181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 PEYTON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258263",
            "telephone_number": "303-345-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 3400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252572",
            "telephone_number": "303-345-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Peyton Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805258263",
            "country_code": "US",
            "telephone_number": "303-345-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001781",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009922734",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpmcounseling@outlook.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Scheduling, questions/concerns",
            "address_1": "551 Peyton Dr",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805258263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "Polaris Partners Counseling and Consulting LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 E Horsetooth Rd Ste 200",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805253154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COMPTON",
            "middle_name": "MARIE",
            "credential": "LCSW, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.