Individual provider Active NPI

Kelly Holmes Thoene, LCSW, LCAS

  • Clinical Social Worker
  • Windsor, CO
National Provider Identifier
1780842070
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00000807 Issued in CO
Practice address
1204 W Ash St Unit a
Windsor, CO 80550-4660
Phone
(970) 494-4261
Fax
(970) 399-8038
NPI assigned
May 23, 2008
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0997119 CO
Clinical Social Worker 1041C0700X CSW.00000807 CO Primary

Addresses

Primary practice location

1204 W Ash St Unit a
Windsor, CO 80550-4660

Mailing address

1204 W Ash St Unit a
Windsor, CO 80550-4660
Phone (970) 494-4261

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
I20171003006889 CO Practitioner - Clinical Social Worker 7315212255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
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)

1204 W Ash St
Unit a
Windsor, CO 80550-4660
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical CurrentSince Jul 12, 2024 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Jul 12, 2024 Accepting new patients
Heart Centered Counseling, PC Clinical Current Accepting new patients

Locations

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

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

1204 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 316-3406

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1780842070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W ASH ST UNIT A",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504660",
            "telephone_number": "970-494-4261",
            "fax_number": "970-399-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W ASH ST UNIT A",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504660",
            "telephone_number": "970-494-4261",
            "fax_number": "970-399-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOENE",
        "first_name": "KELLY",
        "middle_name": "HOLMES",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0997119",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00000807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.