Individual provider Active NPI

Amanda May Upthegrove, LCSW

  • Clinical Social Worker
  • Parker, CO
National Provider Identifier
1548835291
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09927248 Issued in CO
Practice address
9403 Crown Crest Blvd Ste 200
Parker, CO 80138-8991
Phone
(303) 840-8780
Fax
(303) 840-8795
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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
Clinical Social Worker 1041C0700X 09927248 CO Primary

Addresses

Primary practice location

9403 Crown Crest Blvd Ste 200
Parker, CO 80138-8991

Mailing address

9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789
Phone (970) 310-3406

Other practice location 1

9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789
Phone (970) 310-3406

Other practice location 2

5200 Denim Ct
Parker, CO 80134-5228
Phone (720) 257-9302

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: No
  • 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

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09927248COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jul 27, 2023 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Heart Centered Counseling, PC Clinical Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 27, 2023 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

320 W Olive St
Fort Collins, CO 80521
Phone (603) 361-7093

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9403 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-8780

9397 Crown Crest Blvd
Ste 440
Parker, CO 80138
Phone (303) 269-4370

Organizations & group practices 4

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1548835291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD STE 440",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388789",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388991",
            "telephone_number": "303-840-8780",
            "fax_number": "303-840-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9397 Crown Crest Blvd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388789",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Denim Ct",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345228",
            "country_code": "US",
            "telephone_number": "720-257-9302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPTHEGROVE",
        "first_name": "AMANDA",
        "middle_name": "MAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.