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AMBER IVANOVA LCSW, LAC
NPI 1063917862
Social Worker - Clinical in Boulder, CO

Active since March 26, 2018PECOS Enrolled
2525 13TH ST STE 200, BOULDER, CO 80304(303) 449-6050(720) 565-4132 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2021, May 15, 2020, Apr 10, 2019 and 1 more (4 updates tracked since 2018).

About Amber Ivanova Lcsw, Lac NPPES

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

AMBER IVANOVA LCSW, LAC (NPI 1063917862) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (CSW.09925143) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1063917862
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMBER IVANOVACredential: LCSW, LAC
Location Address2525 13TH ST STE 200Boulder, CO 80304-4104
Mailing Address1735 S Public Rd Ste 203Lafayette, CO 80026-7093 · (303) 665-3036 · Fax (303) 665-3397
Phone(303) 449-6050
Fax(720) 565-4132
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateMay 14, 20214 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1063917862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · CSW.09925143
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0000931 (CO)
2525 13TH ST STE 200, Boulder, CO 80304
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Secondary Practice Location 1

Location 11355 S Colorado Blvd Ste C-100Denver, CO 80222-3305 · Phone (720) 588-0281

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Ivanova Lcsw, Lac 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 Reassignments

2

Medicare enrollment records show Amber Ivanova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinica Campesina Family Health Services
Same address
Clinic/Center
2525 13TH ST
Boulder, CO 80304
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1184613234 (720) 565-4270
Metro Community Provider Network Inc
17 mi
Federally Qualified Health Center (FQHC)
11005 RALSTON ROAD, SUITE 100-G
Arvada, CO 80004
  • Reassigned Medicare billing, Colorado enrollment
  • 125 clinicians in this Medicare group
NPI 1376701300 (303) 360-6276

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 80304 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.

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 Amber Ivanova's NPI number?

The NPI number for Amber Ivanova is 1063917862. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Amber Ivanova located?

Amber Ivanova practices at 2525 13th St Ste 200, Boulder, CO 80304. The listed phone number is (303) 449-6050.

What is Amber Ivanova's specialty?

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

Is Amber Ivanova enrolled in Medicare?

Yes. Amber Ivanova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amber Ivanova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Ivanova reassigns Medicare benefits to 2 organizations: Clinica Campesina Family Health Services (Boulder, CO) and Metro Community Provider Network Inc (Arvada, CO). Each 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 Amber Ivanova'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 Amber Ivanova was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.