Organization Active NPI

Robin Ennis, LCSW, LLC

  • Clinical Social Worker
  • Englewood, CO
National Provider Identifier
1609458124
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROBIN ENNIS, LCSW, LLC
Practice address
7887 E Belleview Ave Ste 1100
Englewood, CO 80111-6097
Phone
(720) 722-3981
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Robin L. Ennis, LCSWNPI 1780982934
Title
Owner/Therapist
Phone
(720) 722-3981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7887 E Belleview Ave Ste 1100
Englewood, CO 80111-6097

Mailing address

7887 E Belleview Ave Ste 1100
Englewood, CO 80111-6097
Phone (720) 722-3981

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL www.simplepractice.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528002209 CO Part B Supplier - Clinic/Group Practice 4688073356 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

7200 E Hampden Ave
Ste 309
Denver, CO 80224
Phone (720) 767-2538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1609458124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 E BELLEVIEW AVE STE 1100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116097",
            "telephone_number": "720-722-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 E BELLEVIEW AVE STE 1100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116097",
            "telephone_number": "720-722-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN ENNIS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "720-722-3981",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "This is a air platform where I send secure messages to clients.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure, encrypted HIPAA compliant",
            "address_1": "7887 E Belleview Ave Ste 1100",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801116097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.