Individual provider Active NPI

Autumn Kiser, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1487743399
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927315 Issued in CO
Practice address
208 Racquette Dr
Fort Collins, CO 80524-4851
Phone
(970) 310-3406
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927315 CO Primary

Addresses

Primary practice location

208 Racquette Dr
Fort Collins, CO 80524-4851

Mailing address

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 310-3406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220602001171 CO Practitioner - Clinical Social Worker 2860870912 Reassigns benefits to 2 organizations
I20250925002403 WY Practitioner - Clinical Social Worker 2860870912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liv in-Home Counseling and Care Management, LLCGroup PAC ID 5698992352, 22 clinicians

Practice addresses (Care Compare)

1301 Riverside Ave
Fort Collins, CO 80524-4374
Phone (970) 888-4070

2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health Current Accepting new patients
Growth Is Freedom Therapy LLC Clinical Current Accepting new patients
Liv in-Home Counseling & Care Management, LLC Clinical CurrentSince Aug 18, 2025 Accepting new patients

Locations

1301 Riverside Ave
Fort Collins, CO 80524
Phone (970) 482-3680

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

2500 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 630-4729

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1487743399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 RACQUETTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244851",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 RACQUETTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244851",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "AUTUMN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.