Individual provider Active NPI

Laura Magnuson, MSW, LSW

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1881093839
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LSW0009920328 Issued in CO
Practice address
3201 S Tamarac Dr
Suite 210
Denver, CO 80231-4394
Phone
(303) 408-8056
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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 LSW0009920328 CO Primary

Addresses

Primary practice location

3201 S Tamarac Dr
Suite 210
Denver, CO 80231-4394

Mailing address

3201 S Tamarac Dr
Suite 210
Denver, CO 80231-4394
Phone (303) 408-8056

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
I20230927003482 CO Practitioner - Clinical Social Worker 6103270996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bloom Wellness LLCGroup PAC ID 5294189080, 2 clinicians

Practice addresses (Care Compare)

509 Scott Ave
Suite 2D
Woodland Park, CO 80863-1294
Phone (719) 286-9077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0009920328COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Wellness LLC CurrentSince Aug 29, 2023 Accepting new patients
Bloom Wellness LLC CurrentSince Sep 1, 2023 Accepting new patients
Bloom Wellness LLC Past Accepting new patients
Bloom Wellness LLC Mental Health Past Accepting new patients
Bloom Wellness LLC Mental Health Past Accepting new patients

Locations

509 Scott Ave
Ste 2D
Woodland Park, CO 80863
Phone (719) 286-9077

Organizations & group practices 5

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1881093839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314394",
            "telephone_number": "303-408-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314394",
            "telephone_number": "303-408-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LSW0009920328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.