Individual provider Active NPI

Kelsey Landeis, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1821876640
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929739 Issued in CO
Practice address
2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581
Phone
(970) 414-1084
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09929739 CO Primary

Addresses

Primary practice location

2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581

Mailing address

2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581
Phone (970) 414-1084

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
I20250218003000 CO Practitioner - Clinical Social Worker 8224558424 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
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

4803 Innovation Dr
Suite 3a
Fort Collins, CO 80525-7308
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 15, 2024 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Dec 15, 2024 Accepting new patients
Heart Centered Counseling, PC Clinical Current Accepting new patients

Locations

4803 Innovation Dr
Ste 3A
Fort Collins, CO 80525
Phone (269) 313-5094

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1821876640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 2000",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252581",
            "telephone_number": "970-414-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 2000",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252581",
            "telephone_number": "970-414-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDEIS",
        "first_name": "KELSEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.