MS. CONSTANCE R CUMMINS LCSW
NPI 1154093672
Social Worker - Clinical in Frisco, CO

Active since October 03, 2021PECOS EnrolledAccepts Medicare Assignment
730 N SUMMIT BLVD 202A, FRISCO, CO 80443(970) 799-0960 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2023, Oct 3, 2021 (2 updates tracked since 2021).

About Ms. Constance R Cummins Lcsw NPPES

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

MS. CONSTANCE R CUMMINS LCSW (NPI 1154093672) is an individual clinical provider in Frisco, Colorado, licensed in Colorado (CSW.00989401) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Frisco, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1154093672
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CONSTANCE R CUMMINSCredential: LCSW
Location Address730 N SUMMIT BLVD 202AFrisco, CO 80443
Mailing AddressP.o. Box 2843Frisco, CO 80443 · (970) 799-0960
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 3, 2021
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1154093672 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.00989401
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.
730 N SUMMIT BLVD 202A, Frisco, CO 80443

Secondary Practice Location 1

Location 1360 Peak One Dr Ste 100Frisco, CO 80443-5948 · Phone (970) 668-4040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Constance R Cummins Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062802168
PECOS Enrollment IDI20211203001956
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 Constance Cummins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
68 SCHOOL ROAD, FL 1
Frisco, CO 80443
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
360 PEAK ONE DRIVE, SUITE 100
Frisco, CO 80443
  • Reassigned Medicare billing, Colorado enrollment
  • 15 clinicians in this Medicare group

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 80443 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 Constance Cummins's NPI number?

The NPI number for Constance Cummins is 1154093672. It was assigned to this individual provider in the NPPES registry on October 3, 2021.

Where is Constance Cummins located?

Constance Cummins practices at 730 N Summit Blvd 202A, Frisco, CO 80443. The listed phone number is (970) 799-0960.

What is Constance Cummins's specialty?

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

Is Constance Cummins enrolled in Medicare?

Yes. Constance Cummins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Constance Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constance Cummins reassigns Medicare benefits to 2 organizations: Catholic Health Initiatives Colorado (Frisco, CO) and Summit Community Care Clinic, Inc. (Frisco, 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 Constance Cummins'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 Constance Cummins was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.