Active NPI
Thomas Headle
- Social Worker
- Centennial, CO
National Provider Identifier
1942903315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009924551
- Practice address
- 7120 E Orchard Rd Ste 255
Centennial, CO 80111-1722 - Phone
- (720) 263-2542
- NPI assigned
- Mar 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009924551 | CO | Primary |
Addresses
Primary practice location
7120 E Orchard Rd Ste 255
Centennial, CO 80111-1722
Mailing address
141 Schooley Rd
Bailey, CO 80421-1319
Phone (720) 263-2542
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250110003429 | CO | Practitioner - Clinical Social Worker | 3173051646 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12424 Big Timber Dr
Unit 3
Conifer, CO 80433-6410
Phone (720) 722-0122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009924551 | CO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conifer Counseling and Therapy Services, Inc | Current | Accepting new patients | |
| Paragon Behavioral Health Connections | Past | Accepting new patients | |
| Paragon Behavioral Health Connections | Past | Accepting new patients | |
| Rocky Mountain Resilience Counseling PLLC | Past | Accepting new patients |
Locations
12424 Big Timber Dr
Unit 3
Conifer, CO 80433
Phone (720) 722-0122
Organizations & group practices 4
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)
- Centennial, CO
- NPI 1972424497
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bailey, CO
- NPI 1104670983
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairplay, CO
- NPI 1578305546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1942903315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 SCHOOLEY RD",
"city": "BAILEY",
"state": "CO",
"postal_code": "804211319",
"telephone_number": "720-263-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 E ORCHARD RD STE 255",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801111722",
"telephone_number": "720-263-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADLE",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-24",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009924551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.