Individual provider Active NPI

Clarissa Nguyen

  • Behavior Technician
  • Northglenn, CO
National Provider Identifier
1740745520
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
11698 Huron St Unit 106
Northglenn, CO 80234-2950
Phone
(720) 381-0264
NPI assigned
Feb 5, 2019
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

11698 Huron St Unit 106
Northglenn, CO 80234-2950

Mailing address

11698 Huron St Unit 106
Northglenn, CO 80234-2950
Phone (720) 381-0264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20251226002089 NV Practitioner - Clinical Social Worker 1254827421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer C Moore MSW LCSW IncGroup PAC ID 8628137304, 10 clinicians

Practice addresses (Care Compare)

660 S Green Valley Pkwy
Suite 140 150
Henderson, NV 89052-0430
Phone (702) 240-8639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer C Moore MSW LCSW Inc CurrentSince Dec 12, 2025 Accepting new patients
Jennifer C Moore MSW LCSW Inc Past Accepting new patients
Trumpet Behavioral Health, LLC Past Accepting new patients

Locations

1301 Seven Hills Dr
Ste 120
Henderson, NV 89052
Phone (702) 240-8639

660 S Green Valley Pkwy
Ste 140150
Henderson, NV 89052
Phone (702) 240-8639

7180 Cascade Valley Ct
Ste 200
Las Vegas, NV 89128
Phone (702) 240-8639

8950 W Tropicana Ave
Ste 1
Las Vegas, NV 89147
Phone (702) 240-8639

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1740745520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11698 HURON ST UNIT 106",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342950",
            "telephone_number": "720-381-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11698 HURON ST UNIT 106",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342950",
            "telephone_number": "720-381-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CLARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.