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THADDEUS FRYE LCSW
NPI 1770146680
Social Worker - Clinical in Boulder, CO

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
1320 ITHACA DR, BOULDER, CO 80305(130) 335-8950 Get Directions Write a Review

NPPES record last updated: July 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2022, Sep 17, 2020, Apr 16, 2019 (3 updates tracked since 2019).

About Thaddeus Frye Lcsw NPPES

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

THADDEUS FRYE LCSW (NPI 1770146680) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (CSW.00001285) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Broomfield, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1770146680
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHADDEUS FRYECredential: LCSW
Location Address1320 ITHACA DRBoulder, CO 80305-6334
Mailing Address1320 Ithaca DrBoulder, CO 80305-6334 · (303) 358-9507
Phone(130) 335-8950
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateApril 16, 2019
Last NPPES UpdateJuly 17, 20223 updates tracked since enumeration
NPPES CertifiedJuly 17, 2022
✔ NPI 1770146680 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.00001285
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.
1320 ITHACA DR, Boulder, CO 80305
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Secondary Practice Location 1

Location 11008 Depot Hill Rd # 201Broomfield, CO 80020-6723 · Phone (303) 358-9507

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thaddeus Frye 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 ID7719303502
PECOS Enrollment IDI20200803002677
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 80305 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

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

EANDD, LLC
Social Worker (Clinical)
1320 ITHACA DR
BOULDER, CO 80305
Boulder County (303) 358-9507

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 Thaddeus Frye's NPI number?

The NPI number for Thaddeus Frye is 1770146680. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Thaddeus Frye located?

Thaddeus Frye practices at 1320 Ithaca Dr, Boulder, CO 80305. The listed phone number is (130) 335-8950.

What is Thaddeus Frye's specialty?

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

Is Thaddeus Frye enrolled in Medicare?

Yes. Thaddeus Frye 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.

When was this NPI record last updated?

The NPPES record for Thaddeus Frye was last updated on July 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.