Individual provider Active NPI

Jeffrey John Kohnke, LCSW

  • Clinical Social Worker
  • Parker, CO
National Provider Identifier
1497886527
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
225 Issued in CO
Practice address
10350 Dransfeldt Rd
Parker, CO 80134-9673
Phone
(303) 730-8858
Fax
(303) 889-0838
NPI assigned
Mar 8, 2007
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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 225 CO Primary

Addresses

Primary practice location

10350 Dransfeldt Rd
Parker, CO 80134-9673

Mailing address

155 Inverness Drive West
Suite 200
Englewood, CO 80112-5095
Phone (303) 730-8858

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
I20070524000579 CO Practitioner - Clinical Social Worker 6103923206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jun 20, 2016 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jun 20, 2016 Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 779-9676

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1497886527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DRIVE WEST",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125095",
            "telephone_number": "303-730-8858",
            "fax_number": "303-889-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 DRANSFELDT RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349673",
            "telephone_number": "303-730-8858",
            "fax_number": "303-889-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHNKE",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.