Individual provider Active NPI

Jonathan Roberts, B.A.

  • Social Worker
  • Denver, CO
National Provider Identifier
1710127063
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4353 E Colfax Ave
Denver, CO 80220-1115
Phone
(303) 504-1200
Fax
(303) 320-4830
NPI assigned
Feb 26, 2009
Last updated
Feb 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

4353 E Colfax Ave
Denver, CO 80220-1115

Mailing address

880 30TH St
C/O Jake Maggart
Boulder, CO 80303-2304
Phone (720) 436-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptation Counseling Clinical Current Accepting new patients

Locations

9351 Grant St
Ste 480
Thornton, CO 80229
Phone (720) 442-4506

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, 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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1710127063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 30TH ST",
            "address_2": "C/O JAKE MAGGART",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032304",
            "telephone_number": "720-436-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201115",
            "telephone_number": "303-504-1200",
            "fax_number": "303-320-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JONATHAN",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.