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KRISTIN BOTHWELL LICSW
NPI 1417123191
Social Worker - Clinical in Peterson Space Force Base, CO

Active since May 02, 2008PECOS Enrolled
NEXT-559 VINCENT ST., SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914(617) 413-6275 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Bothwell Licsw NPPES

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

KRISTIN BOTHWELL LICSW (NPI 1417123191) is an individual clinical provider in Peterson Space Force Base, Colorado, licensed in California (96216) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417123191
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN BOTHWELLCredential: LICSW
Location AddressNEXT-559 VINCENT ST., SPACE BASE DELTA 1Peterson Space Force Base, CO 80914-0000
Mailing AddressNect-559 Vincent Street, Space Base Delta 1Peterson Sfb, CO 80914 · (617) 413-6275
Phone(617) 413-6275
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 2, 2008
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1417123191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 96216✔ Licensed in MA · 116933
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.
NEXT-559 VINCENT ST., Peterson Space Force Base, CO 80914
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Bothwell Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274033717
PECOS Enrollment IDI20250821000126
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80914 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 Kristin Bothwell's NPI number?

The NPI number for Kristin Bothwell is 1417123191. It was assigned to this individual provider in the NPPES registry on May 2, 2008.

Where is Kristin Bothwell located?

Kristin Bothwell practices at Next-559 Vincent St. Space Base Delta 1, Peterson Space Force Base, CO 80914. The listed phone number is (617) 413-6275.

What is Kristin Bothwell's specialty?

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

Is Kristin Bothwell enrolled in Medicare?

Yes. Kristin Bothwell is registered in the Medicare PECOS enrollment system.

What insurance does Kristin Bothwell accept?

Health plans from UnitedHealthcare list Kristin Bothwell 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 Kristin Bothwell was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.