DONALD EMMERICH JR.
NPI 1215507645
Social Worker - Clinical in Denver, CO

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
5335 W 48TH AVE STE 500, DENVER, CO 80212(303) 549-6342 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2023, Jun 28, 2021 (2 updates tracked since 2021).

About Donald Emmerich Jr. NPPES

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

DONALD EMMERICH JR. (NPI 1215507645) is an individual clinical provider in Denver, Colorado and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215507645
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDONALD EMMERICH JR.
Location Address5335 W 48TH AVE STE 500Denver, CO 80212-2732
Mailing Address8841 W Louisiana PlLakewood, CO 80232-5214 · (303) 549-6342
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2021
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1215507645 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.
5335 W 48TH AVE STE 500, Denver, CO 80212

Accepted Insurance

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

Donald Emmerich Jr. 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 ID6507250214
PECOS Enrollment IDI20220223000895
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 Donald Emmerich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Mental Health (Including Community Mental Health Center)
5335 W 48TH AVE STE 500
Denver, CO 80212
  • Reassigned Medicare billing, Colorado enrollment
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 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 80212 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 20

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
5335 W 48TH AVE STE 500
DENVER, CO 80212
Nurse Practitioner (Psychiatric/Mental Health)
5335 W 48TH AVE STE 500
DENVER, CO 80212
Nurse Practitioner (Psychiatric/Mental Health)
5335 W 48TH AVE STE 500
DENVER, CO 80212
Psychiatry & Neurology (Psychiatry)
5335 W 48TH AVE STE 500
DENVER, CO 80212
Dietitian, Registered
5335 W 48TH AVE STE 500
DENVER, CO 80212
Clinic/Center (Mental Health (Including Community Mental Health Center))
5335 W 48TH AVE STE 500
DENVER, CO 80212
Counselor (Mental Health)
5335 W 48TH AVE STE 500
DENVER, CO 80212
Psychiatry & Neurology (Psychiatry)
5335 W 48TH AVE STE 500
DENVER, CO 80212

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 Donald Emmerich's NPI number?

The NPI number for Donald Emmerich is 1215507645. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Donald Emmerich located?

Donald Emmerich practices at 5335 W 48th Ave Ste 500, Denver, CO 80212. The listed phone number is (303) 549-6342.

What is Donald Emmerich's specialty?

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

Is Donald Emmerich enrolled in Medicare?

Yes. Donald Emmerich 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 Donald Emmerich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Emmerich reassigns Medicare benefits to 2 organizations: Don Emmerich, LLC (Denver, CO) and Sondermind Provider Network LLC (Denver, 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 Donald Emmerich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Emmerich accept?

Health plans from Oscar Insurance Company list Donald Emmerich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Emmerich was last updated on July 17, 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.