Individual provider Active NPI

Kelli Hayes, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1508365487
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928028 Issued in CO
Practice address
1622 Race St
Suite 2
Denver, CO 80206
Phone
(720) 689-4958
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09928028 CO Primary
Clinical Social Worker 1041C0700X LSW.0009922933 CO

Addresses

Primary practice location

1622 Race St
Suite 2
Denver, CO 80206

Mailing address

PO Box 382
Denver, CO 80201-0382
Phone (720) 689-4958

Other identifiers 1

IdentifierTypeStateIssuer
CSW.09928028OtherCODORA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelli@hearthope.net Direct

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
I20241003000711 CO Practitioner - Clinical Social Worker 0143751081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009922933COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Hope Therapy LLC Clinical CurrentSince Mar 15, 2021 Accepting new patients

Locations

1622 Race St
Ste 2
Denver, CO 80206
Phone (720) 689-4958

1928 E 18th Ave
Denver, CO 80206
Phone (303) 219-1370

Organizations & group practices 1

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1508365487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802010382",
            "telephone_number": "720-689-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 RACE ST",
            "address_2": "SUITE 2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "720-689-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KELLI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2022-08-11",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928028",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009922933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "CSW.09928028",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelli@hearthope.net",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging",
            "address_1": "951 20th St Unit 382",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802015218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.