1. Home
  2. Directory
  3. Colorado
  4. Fort Collins
  5. Social Worker
  6. NPI Profile

KAYLEE ROM LCSW
NPI 1053040527
Social Worker - Clinical in Fort Collins, CO

Active since June 08, 2022PECOS Enrolled
3000 S COLLEGE AVE UNIT 210, FORT COLLINS, CO 80525(970) 764-7619 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2025, Jun 8, 2022 (2 updates tracked since 2022).

About Kaylee Rom Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLEE ROM LCSW (NPI 1053040527) is an individual clinical provider in Fort Collins, Colorado, licensed in Colorado (CSW.09931146) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053040527
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAYLEE ROMCredential: LCSW
Location Address3000 S COLLEGE AVE UNIT 210Fort Collins, CO 80525-2558
Mailing Address3000 S College Ave Unit 210Fort Collins, CO 80525-2558 · (970) 764-7619
Phone(970) 764-7619
Sole ProprietorYes
Enumeration DateJune 8, 2022
Last NPPES UpdateApril 24, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1053040527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · CSW.09931146
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3000 S COLLEGE AVE UNIT 210, Fort Collins, CO 80525
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylee Rom Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kaylee Rom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Parent-Child Interaction Center LLC
0.7 mi
Marriage & Family Therapist
375 E HORSETOOTH RD, BLDG 3 SUITE 101
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 10 clinicians in this Medicare group
NPI 1306090758 (970) 472-1207

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON REID
Social Worker
3000 S COLLEGE AVE UNIT 210
FORT COLLINS, CO 80525
Larimer County (970) 472-1207
BRITTANY LEIGH PIVIK LPC
Counselor (Professional)
3000 S COLLEGE AVE UNIT 210
FORT COLLINS, CO 80525
Larimer County (970) 472-1207
RAPHAEL J DUSHMAN BA, MA, MFTC
Marriage & Family Therapist
3000 S COLLEGE AVE UNIT 210
FORT COLLINS, CO 80525
Larimer County (970) 472-1207
MELISSA POOL
Marriage & Family Therapist
3000 S COLLEGE AVE UNIT 210
FORT COLLINS, CO 80525
Larimer County (970) 472-1207
KELLY LYNN MCDONNELL LCSW
Social Worker (Clinical)
3000 S COLLEGE AVE UNIT 210
FORT COLLINS, CO 80525
Larimer County (970) 716-0883
REBECCA ARBACH LCSW
Social Worker (Clinical)
3000 S COLLEGE AVE UNIT 210
FORT COLLINS, CO 80525
Larimer County (970) 235-0636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaylee Rom's NPI number?

The NPI number for Kaylee Rom is 1053040527. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Kaylee Rom located?

Kaylee Rom practices at 3000 S College Ave Unit 210, Fort Collins, CO 80525. The listed phone number is (970) 764-7619.

What is Kaylee Rom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kaylee Rom enrolled in Medicare?

Yes. Kaylee Rom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaylee Rom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylee Rom reassigns Medicare benefits to The Parent-Child Interaction Center LLC (Fort Collins, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaylee Rom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaylee Rom was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.