Active NPI
Thomas Charles Munnell, PH.D.
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1821030537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 988016
- Practice address
- 2101 S Blackhawk St
Suite # 250
Aurora, CO 80014-1492 - Phone
- (303) 751-2710
- Fax
- (303) 696-1292
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 988016 | CO | Primary |
Addresses
Primary practice location
2101 S Blackhawk St
Suite # 250
Aurora, CO 80014-1492
Mailing address
2101 S Blackhawk St
Suite # 250
Aurora, CO 80014-1492
Phone (303) 751-2710
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 988016 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Consultation SVCS, Inc | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1457392177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821030537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 S BLACKHAWK ST",
"address_2": "SUITE # 250",
"city": "AURORA",
"state": "CO",
"postal_code": "800141492",
"telephone_number": "303-751-2710",
"fax_number": "303-696-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S BLACKHAWK ST",
"address_2": "SUITE # 250",
"city": "AURORA",
"state": "CO",
"postal_code": "800141492",
"telephone_number": "303-751-2710",
"fax_number": "303-696-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNNELL",
"first_name": "THOMAS",
"middle_name": "CHARLES",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "988016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.