Individual provider Active NPI

Rebekah L Paster

  • Social Worker
  • Denver, CO
National Provider Identifier
1790436970
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0009923683 Issued in CO
Practice address
1490 N Lafayette St
Denver, CO 80218-2339
Phone
(303) 954-4052
Fax
(303) 399-8010
NPI assigned
Jan 10, 2022
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 0009923683 CO Primary

Addresses

Primary practice location

1490 N Lafayette St
Denver, CO 80218-2339

Mailing address

12954 W Iliff Ave # 108
Lakewood, CO 80228-4336
Phone (303) 954-4052

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL credentialing@psychgo.com Psychotherapy and Care Management On The Go, LLC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0009923683COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Co LLC Social Worker PastSince Jan 22, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18580/brand/1/csg/1/fhir/r4

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1790436970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12954 W ILIFF AVE # 108",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284336",
            "telephone_number": "303-954-4052",
            "fax_number": "303-399-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802182339",
            "telephone_number": "303-954-4052",
            "fax_number": "303-399-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTER",
        "first_name": "REBEKAH",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009923683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "credentialing@psychgo.com",
            "affiliation": "Y",
            "affiliationName": "Psychotherapy and Care Management On The Go, LLC",
            "address_1": "1490 N Lafayette St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802182339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 10, 2022; 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.