Individual provider Active NPI

Kaila Jantz, MSW, LSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1649055666
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW.0009924670 Issued in CO
Practice address
8190 E 1St Ave Ste 105
Denver, CO 80230-7211
Phone
(303) 731-8900
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 LSW.0009924670 CO Primary

Addresses

Primary practice location

8190 E 1St Ave Ste 105
Denver, CO 80230-7211

Mailing address

12157 W Cedar Dr
Lakewood, CO 80228-2100
Phone (720) 773-1439

Other practice location 1

340 E 1st Ave Ste 300
Broomfield, CO 80020-2454
Phone (720) 370-8329

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009924670COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Wellness Center Colorado Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1649055666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12157 W CEDAR DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282100",
            "telephone_number": "720-773-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 E 1ST AVE STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307211",
            "telephone_number": "303-731-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 E 1st Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800202454",
            "country_code": "US",
            "telephone_number": "720-370-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANTZ",
        "first_name": "KAILA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009924670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.