Individual provider Active NPI

Mark Allen Scofield, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1700886306
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991945 Issued in CO
Practice address
2516 Foresight Cir
#2
Grand Junction, CO 81505-1096
Phone
(970) 254-8600
Fax
(970) 254-8603
NPI assigned
Jul 26, 2005
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 991945 CO Primary

Addresses

Primary practice location

2516 Foresight Cir
#2
Grand Junction, CO 81505-1096

Mailing address

2516 Foresight Circle
#2
Grand Junction, CO 81505
Phone (970) 254-8600

Other identifiers 1

IdentifierTypeStateIssuer
72777249MedicaidCO

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
I20060504000175 CO Practitioner - Clinical Social Worker 0941210942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

3401 Quebec St
Suite 7600
Denver, CO 80207-2345
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991945COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical CurrentSince Apr 27, 2018 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Apr 27, 2018 Accepting new patients
Heart Centered Counseling, PC Clinical Current Accepting new patients

Locations

1330 Inverness Dr
Ste 400
Colorado Springs, CO 80910
Phone (412) 996-8194

3401 Quebec St
Ste 7600
Denver, CO 80207
Phone (520) 609-2674

320 W Olive St
Fort Collins, CO 80521
Phone (603) 361-7093

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

5401 W 10th St
Ste 200
Greeley, CO 80634
Phone (970) 514-6637

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, 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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1700886306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 FORESIGHT CIRCLE",
            "address_2": "#2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-254-8600",
            "fax_number": "970-254-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 FORESIGHT CIR",
            "address_2": "#2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051096",
            "telephone_number": "970-254-8600",
            "fax_number": "970-254-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOFIELD",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72777249",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.