Individual provider Active NPI

Susan Minjung Monahan, MSW,LCSW

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1992851992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
991776 Issued in CO
Practice address
950 Wadsworth Blvd
Suite 202
Lakewood, CO 80214-4591
Phone
(303) 257-7047
Fax
(303) 996-0663
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 991776 CO Primary

Addresses

Primary practice location

950 Wadsworth Blvd
Suite 202
Lakewood, CO 80214-4591

Mailing address

950 Wadsworth Blvd
Suite 202
Lakewood, CO 80214-4591
Phone (303) 257-7047

Other names 1

  • Susan Monahan Professional name

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
I20050607000389 CO Practitioner - Clinical Social Worker 4183667579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westside Behavioral Care, Inc.Group PAC ID 8426031774, 13 clinicians

Practice addresses (Care Compare)

950 Wadsworth Blvd
Suite 202
Lakewood, CO 80214-4542
Phone (303) 986-4197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991776COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Behavioral Care, Inc. Clinical CurrentSince Apr 1, 2005 Accepting new patients

Locations

950 Wadsworth Blvd
Ste 202
Lakewood, CO 80214
Phone (303) 257-7047

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992851992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD",
            "address_2": "SUITE 202",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144591",
            "telephone_number": "303-257-7047",
            "fax_number": "303-996-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD",
            "address_2": "SUITE 202",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144591",
            "telephone_number": "303-257-7047",
            "fax_number": "303-996-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "SUSAN",
        "middle_name": "MINJUNG",
        "name_prefix": "Mrs.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "991776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MONAHAN",
            "credential": "MSW,LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.