Active NPI
William Jay Monroe, LCSW
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1679000368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 206
- Practice address
- 580 Mohawk Dr
Boulder, CO 80303-3712 - Phone
- (303) 338-4545
- NPI assigned
- May 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 129 | CO | |
| Clinical Social Worker | 1041C0700X | 206 | CO | Primary |
Addresses
Primary practice location
580 Mohawk Dr
Boulder, CO 80303-3712
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545
Other practice location 1
2500 Overlook Ter
Madison, WI 53705-2254
Phone (608) 280-1901 ext. 17084
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 129 | CO | MD | Marriage & Family Therapist |
| 206 | CO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naropa University | Current | Accepting new patients |
Locations
1600 Range St
Ste 202
Boulder, CO 80301
Phone (303) 546-3589
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Boulder, CO
- NPI 1922473230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1679000368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314",
"telephone_number": "303-338-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 MOHAWK DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803033712",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [
{
"address_1": "2500 Overlook Ter",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537052254",
"country_code": "US",
"telephone_number": "608-280-1901 x17084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONROE",
"first_name": "WILLIAM",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "129",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "580 Mohawk Dr",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803033712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.