Eandd, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EANDD, LLC

Practice address

1320 Ithaca Dr
Boulder, CO 80305-6334

Phone

(303) 358-9507

NPI assigned

Apr 23, 2020

Last updated

Sep 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Koepf

Title

Delegated Official

Phone

(303) 444-3443

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thaddeus Frye, LCSW

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1770146680
  Medicare reassignment NPD
• Charles Joseph Rosicky, LCSW

  • Clinical Social Worker
  • Louisville, CO
  • NPI 1538944574
  NPD

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1528688140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ITHACA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056334",
            "telephone_number": "303-358-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ITHACA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056334",
            "telephone_number": "303-358-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EANDD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "KOEPF",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "303-444-3443"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003275439",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dan Eades, MD
• Michael Robert Eades, M.D.
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• Annilee Eakins
• Kathleen Eakins, P.T.
• Earth and Sky Psychotherapy LLC
• East West Women's Health Center, LLC
• Melissa Donna Eaton, D.O.M
• Eben D. Carsey, MD, Professional LLC
• Courtney Ebert Hein, CNM

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.