MATTHEW BANACH LCSW
NPI 1891255253
Social Worker - Clinical in Fountain, CO
About Matthew Banach Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BANACH LCSW (NPI 1891255253) is an individual clinical provider in Fountain, Colorado, licensed in Colorado (CSW.09925288) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Matthew Banach 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Banach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fountain, CO 80817
- Reassigned Medicare billing, Colorado enrollment
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 80817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Banach's NPI number?
The NPI number for Matthew Banach is 1891255253. It was assigned to this individual provider in the NPPES registry on March 21, 2019.
Where is Matthew Banach located?
Matthew Banach practices at 105 S Main St, Fountain, CO 80817. The listed phone number is (719) 217-4609.
What is Matthew Banach's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Matthew Banach enrolled in Medicare?
Yes. Matthew Banach 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 organization bills Medicare for Matthew Banach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Banach reassigns Medicare benefits to New Frontiers Counseling LLC (Fountain, CO). The 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 Matthew Banach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Banach accept?
Health plans from Select Health list Matthew Banach 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 Matthew Banach was last updated on August 6, 2024. 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.
# Matthew Banach, LCSW · NPI 1891255253
Clinical provider in Fountain, Colorado. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1891255253 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW.09925288 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 105 S MAIN ST, Fountain, CO 80817-2215
- **Phone:** (719) 217-4609
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** New Frontiers Counseling LLC (NPI 1194577098, Fountain, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891255253) · Data from the CMS NPPES public registry.