Individual provider Active NPI

Kaila Peak-Rishel, LCSW, LMFTC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1497319677
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925517 Issued in CO
Practice address
50 S Steele St Ste 377
Denver, CO 80209-2808
Phone
(734) 720-9794
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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.09925517 CO Primary

Addresses

Primary practice location

50 S Steele St Ste 377
Denver, CO 80209-2808

Mailing address

50 S Steele St Ste 377
Denver, CO 80209-2808
Phone (734) 720-9794

Other identifiers 1

IdentifierTypeStateIssuer
20161465281OtherCOPRIVATE PRACTICE

Other names 1

  • Kaila Ackman-Rishel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09925517COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1497319677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 377",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092808",
            "telephone_number": "734-720-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 377",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092808",
            "telephone_number": "734-720-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK-RISHEL",
        "first_name": "KAILA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LMFTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "20161465281",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILA",
            "last_name": "ACKMAN-RISHEL",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.