NPIMap

Organization Active NPI

Psychotherapy and Care Management on the Go, LLC

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1689823668
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PSYCHOTHERAPY AND CARE MANAGEMENT ON THE GO, LLC
Practice address
12954 W Iliff Ave
Lakewood, CO 80228-4336
Phone
(303) 204-6635
Fax
(303) 504-6410
NPI assigned
Sep 15, 2008
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Leann Grace Hansen, LCSWNPI 1871756478
Title
Owner
Phone
(303) 204-6635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X Primary
Psychiatry Physician 2084P0800X
Clinical Pharmacology Physician 208U00000X

Addresses

Primary practice location

12954 W Iliff Ave
Lakewood, CO 80228-4336

Mailing address

12954 W Iliff Ave
Lakewood, CO 80228-4336
Phone (303) 204-6635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000639 CO Part B Supplier - Clinic/Group Practice 5496822819 Receives reassigned benefits from 10 practitioners
Practice locations: Lakewood, CO; Denver, CO

National Provider Directory

National Provider Directory

Locations

1490 N Lafayette St
Ste 108
Denver, CO 80218
Phone (303) 204-6635

1640 N Logan St
Ste 1
Denver, CO 80203
Phone (303) 204-6635

550 S Wadsworth Blvd
Unit 590
Lakewood, CO 80226
Phone (303) 954-4052

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1689823668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12954 W ILIFF AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284336",
            "telephone_number": "303-204-6635",
            "fax_number": "303-504-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12954 W ILIFF AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284336",
            "telephone_number": "303-204-6635",
            "fax_number": "303-504-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY AND CARE MANAGEMENT ON THE GO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-204-6635",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.