Individual provider Active NPI

Tiffany Dawn Koenen, LCSW

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1629146337
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW-00001791 Issued in CO
Practice address
6551 S Revere Pkwy Ste 255
Centennial, CO 80111-6471
Phone
(720) 735-7444
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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-00001791 CO Primary

Addresses

Primary practice location

6551 S Revere Pkwy Ste 255
Centennial, CO 80111-6471

Mailing address

9647 Deerhorn CT Apt 151
Parker, CO 80134-3140
Phone (720) 626-5758

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany@denvercounseling.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW-00001791COMDClinical Social Worker
1028NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Original Path Counseling, LLC Clinical Past Accepting new patients
Tiffany D. Koenen, LCSW, LLC Clinical PastSince Apr 23, 2023 Accepting new patients

Organizations & group practices 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1629146337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9647 DEERHORN CT APT 151",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343140",
            "telephone_number": "720-626-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 255",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116471",
            "telephone_number": "720-735-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENEN",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW-00001791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany@denvercounseling.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "healthcare information",
            "address_1": "6551 S Revere Pkwy Ste 255",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801116471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.