Individual provider Active NPI

Mesa Owen, LCSW

  • Mental Health Counselor
  • Norwood, CO
National Provider Identifier
1861239634
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW.09930630 Issued in CO
Practice address
1555 Summit St
Norwood, CO 81423-5169
Phone
(970) 708-8190
NPI assigned
Jul 10, 2024
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW.09930630 CO Primary

Addresses

Primary practice location

1555 Summit St
Norwood, CO 81423-5169

Mailing address

125 W 200 S
Moab, UT 84532-2534
Phone (970) 708-8190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20251117001358 UT Practitioner - Clinical Social Worker 5395236434 Practice locations: Moab, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 W 200
Moab, UT 84532-2534

509 Chatfield Dr
Colorado Springs, CO 80911-1709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09930630COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Wellness LLC Clinical CurrentSince Sep 15, 2024 Accepting new patients

Locations

125 W 200 S
Moab, UT 84532
Phone (435) 260-1302

125 W 200 S
#107
Moab, UT 84532
Phone (435) 487-9313

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1861239634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 200 S",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322534",
            "telephone_number": "970-708-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUMMIT ST",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "814235169",
            "telephone_number": "970-708-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "MESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW.09930630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, CO

Sources for this page

Verify at the official NPI Registry.