AMANDA GABRIELLE KACENA – Clinical Social Worker, NPI 1447571807

AMANDA GABRIELLE KACENA is a healthcare provider. based in Fountain, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold a License No. CSW.09925411 (CO). The NPI Number for AMANDA GABRIELLE KACENA is 1447571807

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA GABRIELLE KACENA
NPI
1447571807
Phone
(719) 695-0044
Address
108 W OHIO AVE # B
Enumeration Date
18 June 2010
Last Update Date
27 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7198001833
Graduation Year
2005 (21 years ago)
PAC ID
0345534889
Group Practice PAC ID
5193167534
Professional Enrollment ID
I20181009001749
Address ID
CO809031385CO228XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for AMANDA GABRIELLE KACENA

  • 108 W OHIO AVE # B

    FOUNTAIN, CO 808172240

    Phone: (719) 695-0044

    Type: Location

  • 179 S PARKSIDE DR

    COLORADO SPRINGS, CO 809103130

    Phone: (719) 572-6100

    Type: Location

  • 2950 SHOREHAM CIR

    COLORADO SPRINGS, CO 809064421

    Phone: (312) 590-7140

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181009001749IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193167534View full group profile
NameSpecialtyState
Mental Health CounselorCO
Clinical Social WorkerCO

Reviews

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Frequently asked questions

Is there an official ID for AMANDA GABRIELLE KACENA in U.S. healthcare records?
The official identifier for AMANDA GABRIELLE KACENA is NPI 1447571807.
Is AMANDA GABRIELLE KACENA still an active registrant?
AMANDA GABRIELLE KACENA carries an active NPI according to the public dataset.
How would a patient describe AMANDA GABRIELLE KACENA's focus?
For AMANDA GABRIELLE KACENA, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is AMANDA GABRIELLE KACENA located near Fountain?
AMANDA GABRIELLE KACENA currently maps to Fountain, Colorado in this extract.
Can I trust this NPI listing for AMANDA GABRIELLE KACENA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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