Individual provider Active NPI

Kristina Lengerich, LCSW

  • Clinical Social Worker
  • Castle Rock, CO
National Provider Identifier
1528620697
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924604 Issued in CO
Practice address
405 S Wilcox St Ste 301
Castle Rock, CO 80104-1957
Phone
(720) 319-7211
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2020

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.09924604 CO Primary

Addresses

Primary practice location

405 S Wilcox St Ste 301
Castle Rock, CO 80104-1957

Mailing address

405 S Wilcox St Ste 301
Castle Rock, CO 80104-1957
Phone (720) 319-7211

Other names 1

  • Kristina Jordan Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924604COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Between the Lines Counseling Clinical CurrentSince Jan 31, 2021 Accepting new patients

Locations

405 S Wilcox St
Ste 301
Castle Rock, CO 80104
Phone (720) 319-7211

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1528620697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S WILCOX ST STE 301",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041957",
            "telephone_number": "720-319-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S WILCOX ST STE 301",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041957",
            "telephone_number": "720-319-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGERICH",
        "first_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "JORDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.