Coalta Therapy and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COALTA THERAPY AND WELLNESS

Doing business as

Coalta Therapy and Wellness L.L.C.

Practice address

8791 Wolff CT Ste 200
Westminster, CO 80031-3693

Phone

(720) 583-5256

NPI assigned

Jul 11, 2023

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Macias, L.C.S.WNPI 1699460253

Title

Owner/ L.C.S.W.

Phone

(720) 583-5256

Specialties & licenses 1

Addresses

Other names 1

• Coalta Therapy and Wellness L.L.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Coalta Therapy and Wellness2 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.

• Coalta Therapy and Wellness

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1568287365
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Macias, LCSW

  • Clinical Social Worker
  • Westminster, CO
  • NPI 1699460253
  Medicare reassignment NPD Authorized official
• Michael Joseph Smock, MSW, LSW, LMSW

  • Social Worker
  • Westminster, CO
  • NPI 1043030240
  NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1477232106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 W 110TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203244",
            "telephone_number": "310-408-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8791 WOLFF CT STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313693",
            "telephone_number": "720-583-5256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Canyon Blvd Ste 300E",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803024979",
            "country_code": "US",
            "telephone_number": "303-569-9250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COALTA THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/ L.C.S.W.",
        "authorized_official_telephone_number": "720-583-5256",
        "authorized_official_credential": "L.C.S.W"
    },
    "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": "Coalta Therapy and Wellness L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coalta Therapy and Wellness L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Stephen Clifton, LPC, LAC, NCC
• Clinica Campesina Family Health Services (Clinica Family Health)
• Clinica Colorado
• Christina Lynn Clinton, MS CCC SLP
• Co Specialty Dental Services, PLLC (Weddle Orthodontics)
• Cobalt Rehabilitation Hospital Denver LLC
• Jessica Cofran, MSN, RN
• Denice Katherine Cogswell, R.N., M.S., C.S.
• Karen E. Cohen, LPC, CAC III
• Drew Bernard Colagrosso, DC

• Clinical Social Worker in Westminster, CO
• Providers in Westminster, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.