Active NPI
Robin Ennis, LCSW, LLC
- Clinical Social Worker
- Englewood, CO
National Provider Identifier
1609458124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin L. Ennis, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210528002209 | CO | Part B Supplier - Clinic/Group Practice | 4688073356 |
Receives reassigned benefits from 1 practitioner Practice locations: Denver, CO |
National Provider Directory
National Provider DirectoryLocations
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.