Individual provider Active NPI

Kristen Renee Milliron, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1679151773
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09925986 Issued in CO
Practice address
300 S Jackson St Ste 104
Denver, CO 80209-3176
Phone
(303) 474-4811
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 09925986 CO Primary

Addresses

Primary practice location

300 S Jackson St Ste 104
Denver, CO 80209-3176

Mailing address

4645 Elm CT
Denver, CO 80211-1144
Phone (650) 701-5103

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
I20240326002003 CO Practitioner - Clinical Social Worker 1052758000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Couch Counseling, Inc.Group PAC ID 2668861436, 7 clinicians

Practice addresses (Care Compare)

1100 W 38TH Ave
Denver, CO 80211-2611
Phone (720) 779-0351

2311 S Platte River Dr
Suite B
Denver, CO 80223-4201
Phone 7207790351101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09925986COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Green Couch Counseling, Inc. Multi-Specialty CurrentSince Jan 29, 2024 Accepting new patients

Locations

1100 W 38th Ave
Denver, CO 80211
Phone (720) 500-5431

2311 S Platte River Dr
Ste B
Denver, CO 80223
Phone (720) 779-0351

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1679151773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 ELM CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111144",
            "telephone_number": "650-701-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093176",
            "telephone_number": "303-474-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIRON",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.