Individual provider Active NPI

Amanda Elizabeth Marconi, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1942583802
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09923849 Issued in CO
Practice address
2821 S Parker Rd Ste 405
Aurora, CO 80014-2748
Phone
(720) 372-3644
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 09923849 CO Primary

Addresses

Primary practice location

2821 S Parker Rd Ste 405
Aurora, CO 80014-2748

Mailing address

2821 S Parker Rd Ste 405
Aurora, CO 80014-2748
Phone (720) 372-3644

Other identifiers 1

IdentifierTypeStateIssuer
80537031MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mindbodywellnesscounseling.com

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

State licenses

LicenseStateTypeSpecialty
09923849COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Wellness Counseling Clinical Current Accepting new patients

Locations

2821 S Parker Rd
Ste 405
Aurora, CO 80014
Phone (719) 368-2293

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.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1942583802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S PARKER RD STE 405",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142748",
            "telephone_number": "720-372-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S PARKER RD STE 405",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142748",
            "telephone_number": "720-372-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCONI",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80537031",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mindbodywellnesscounseling.com",
            "affiliation": "N",
            "address_1": "2821 S Parker Rd Ste 405",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800142748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.