Organization Active NPI

Magic Pebble Collaborative PLLC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1801567797
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAGIC PEBBLE COLLABORATIVE PLLC
Practice address
2401 S Downing St
Denver, CO 80210-5811
Phone
(802) 216-0390
Fax
(802) 357-5151
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Ms. Allison E Hansen, MSW, LICSW, LCSWNPI 1396127957
Title
Founder & Therapist
Phone
(802) 216-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2401 S Downing St
Denver, CO 80210-5811

Mailing address

2401 S Downing St
Denver, CO 80210-5811
Phone (802) 216-0390

Other identifiers 1

IdentifierTypeStateIssuer
6704489MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208002175 CO Part B Supplier - Clinic/Group Practice 9739522517 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

4770 E Iliff Ave
Ste 218
Denver, CO 80222
Phone (303) 782-0545

190 Eastern Ave
Ste 202
St Johnsbury, VT 05819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1801567797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105811",
            "telephone_number": "802-216-0390",
            "fax_number": "802-357-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105811",
            "telephone_number": "802-216-0390",
            "fax_number": "802-357-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC PEBBLE COLLABORATIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FOUNDER & THERAPIST",
        "authorized_official_telephone_number": "802-216-0390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6704489",
            "state": "VT"
        }
    ],
    "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 Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.