A DEMENTIA JOURNEY, LLC
NPI 1073401469
Social Worker - Clinical in Canon City, CO

Q: What is A Dementia Journey, LLC's NPI number?

The NPI number for A Dementia Journey, LLC is 1073401469. It was assigned to this organization in the NPPES registry on June 25, 2025.

Q: What is A Dementia Journey, LLC's specialty?

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

Active since June 25, 2025

49200 W US HIGHWAY 50, CANON CITY, CO 81212(719) 251-2568(877) 752-2076 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2025, Jun 25, 2025 (2 updates tracked since 2025).

On this page

About A Dementia Journey, Llc NPPES

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

A DEMENTIA JOURNEY, LLC (NPI 1073401469) is a healthcare organization registered as a clinical in Canon City, Colorado and active in the NPI registry since June 2025. The organization lists Nancy Lea Greenstreet, Owner, as its authorized official.

NPPES Registry Identity

NPI1073401469

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameA DEMENTIA JOURNEY, LLC

Location Address49200 W US HIGHWAY 50Canon City, CO 81212-9748

Mailing Address49200 W Us Highway 50Canon City, CO 81212-9748 · (719) 251-2568 · Fax (877) 752-2076

Phone(719) 251-2568

Fax(877) 752-2076

Organization SubpartNo

Authorized OfficialNancy Lea GreenstreetOwner · (719) 251-2568

Enumeration DateJune 25, 2025

Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1073401469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

49200 W US HIGHWAY 50, Canon City, CO 81212

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Dementia Journey, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to A Dementia Journey, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nancy Greenstreet, LCSW

Clinical Social Worker

NPI 1548453350

3107 BONAVENTURE CT
Pueblo, CO 81008

(303) 338-4545

✔ PECOS35 mi

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

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 A Dementia Journey, LLC's NPI number?

The NPI number for A Dementia Journey, LLC is 1073401469. It was assigned to this organization in the NPPES registry on June 25, 2025.

Where is A Dementia Journey, LLC located?

A Dementia Journey, LLC is located at 49200 W Us Highway 50, Canon City, CO 81212. The listed phone number is (719) 251-2568.

What is A Dementia Journey, LLC's specialty?

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

Is A Dementia Journey, LLC enrolled in Medicare?

Yes. A Dementia Journey, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Dementia Journey, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to A Dementia Journey, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for A Dementia Journey, LLC was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.