Individual provider Active NPI

Jessie Stempel, LMSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1679023238
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09929940 Issued in CO
Practice address
1630 Dry Creek Dr Ste 100B
Longmont, CO 80503-6405
Phone
(970) 310-3406
NPI assigned
Oct 7, 2016
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 096563 NY
Clinical Social Worker 1041C0700X 09929940 CO Primary

Addresses

Primary practice location

1630 Dry Creek Dr Ste 100B
Longmont, CO 80503-6405

Mailing address

1630 Dry Creek Dr Ste 100B
Longmont, CO 80503-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311002526 CO Practitioner - Clinical Social Worker 4880030006 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096563NYMDSocial Worker
09929940COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 30, 2023 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 30, 2023 Accepting new patients
Heart Centered Counseling, PC Clinical Current Accepting new patients

Locations

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

Organizations & group practices 4

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": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1679023238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMPEL",
        "first_name": "JESSIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096563",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09929940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.