Lotusom, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOTUSOM, LLC

Practice address

408 N Main St Ste F
Rocky Ford, CO 81067-1256

Phone

(719) 423-8834

Fax

(719) 316-2753

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By 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

Criston Menz, LCSWNPI 1609484062

Title

President/Provider

Phone

(719) 696-0910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cris Menz Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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.

• Criston A Menz, LCSW

  • Clinical Social Worker
  • Rocky Ford, CO
  • NPI 1609484062
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1477280576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HOPKINS AVE",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672421",
            "telephone_number": "719-696-0910",
            "fax_number": "719-316-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MAIN ST STE F",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810671256",
            "telephone_number": "719-423-8834",
            "fax_number": "719-316-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "MENZ",
        "authorized_official_first_name": "CRISTON",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "719-696-0910",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14671305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cris Menz",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inspiration Field
• James M Satt MD PC
• Darryl O Lacy, PA
• Matthew David Lewis, M.D.
• Lighthouse Psychology Services LLC
• Calee Ann McClure, D.C.
• Julie Allison McClure, MED OTR
• Criston A Menz, LCSW
• Douglas Dean Miller, MSN, FNP
• Lori Katherine Miller, MS, CCC/SLP

• Clinical Social Worker in Rocky Ford, CO
• Providers in Rocky Ford, 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 Aug 8, 2022; 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.