Active NPI
Jonathan Mindas
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1851743769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09928070
- Practice address
- 55 Madison St Ste 240
Denver, CO 80206-5420 - Phone
- (970) 310-3406
- NPI assigned
- Jul 5, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25513 | NC | |
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | P013347 | NC | |
| Clinical Social Worker | 1041C0700X | 09928070 | CO | Primary |
Addresses
Primary practice location
55 Madison St Ste 240
Denver, CO 80206-5420
Mailing address
55 Madison St Ste 240
Denver, CO 80206-5420
Phone (970) 310-3406
Other practice location 1
100 Billingsley Rd
Charlotte, NC 28211-1002
Phone (704) 376-7447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09928070 | CO | MD | Clinical Social Worker |
| P013347 | NC | MD | Clinical Social Worker |
| 25513 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Mental Health | Current | Accepting new patients |
| Family Care Center, LLC | Current | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
63 N Quebec St
Ste 201
Denver, CO 80230
Phone (303) 248-7897
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1790141984
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1689897100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1851743769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MADISON ST STE 240",
"city": "DENVER",
"state": "CO",
"postal_code": "802065420",
"telephone_number": "970-310-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MADISON ST STE 240",
"city": "DENVER",
"state": "CO",
"postal_code": "802065420",
"telephone_number": "970-310-3406"
}
],
"practiceLocations": [
{
"address_1": "100 Billingsley Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111002",
"country_code": "US",
"telephone_number": "704-376-7447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINDAS",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-05",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "25513",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013347",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09928070",
"primary": true
}
],
"identifiers": [],
"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 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.