Individual provider Active NPI

Ashlei M Kretz, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1700107919
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09926039 Issued in CO
Practice address
743 Horizon CT Ste 220
Grand Junction, CO 81506-8716
Phone
(844) 787-8721
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-08487 NM
School Social Worker 1041S0200X X-08211 NM
Clinical Social Worker 1041C0700X CSW09926039 CO Primary

Addresses

Primary practice location

743 Horizon CT Ste 220
Grand Junction, CO 81506-8716

Mailing address

743 Horizon CT Ste 220
Grand Junction, CO 81506-8716
Phone (844) 787-8721

Other practice location 1

3100 8th Ave NE
Rio Rancho, NM 87124-0852
Phone (505) 891-8473 ext. 521

Other practice location 2

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone (505) 994-7549

Other names 1

  • Ashlei M Sparks Former name

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
I20240313001005 CO Practitioner - Clinical Social Worker 2961848957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

215 W Oak St
FL 4
Fort Collins, CO 80521-2734
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09926039COMDClinical Social Worker
C-08487NMMDClinical Social Worker
X-08211NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Heart Centered Counseling, PC Clinical Current Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

743 Horizon Ct
Ste 220
Grand Junction, CO 81506
Phone (720) 229-7356

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

Organizations & group practices 3

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1700107919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 220",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068716",
            "telephone_number": "844-787-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 220",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068716",
            "telephone_number": "844-787-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 8th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871240852",
            "country_code": "US",
            "telephone_number": "505-891-8473 x521",
            "fax_number": "505-891-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Broadmoor Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871442100",
            "country_code": "US",
            "telephone_number": "505-994-7549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRETZ",
        "first_name": "ASHLEI",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08487",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "X-08211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09926039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEI",
            "last_name": "SPARKS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.