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MATTHEW BANACH LCSW
NPI 1891255253
Social Worker - Clinical in Fountain, CO

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
105 S MAIN ST, FOUNTAIN, CO 80817(719) 217-4609 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2024, Mar 21, 2019 (2 updates tracked since 2019).

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

NPI1891255253
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW BANACHCredential: LCSW
Location Address105 S MAIN STFountain, CO 80817-2215
Mailing Address105 S Main StFountain, CO 80817-2215 · (719) 217-4609
Phone(719) 217-4609
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 21, 2019
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1891255253 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.09925288
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.
105 S MAIN ST, Fountain, CO 80817
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Accepted Insurance

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

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

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.

PECOS PAC ID244566057
PECOS Enrollment IDI20190731000975
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 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.

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.

NEW FRONTIERS COUNSELING LLC
Social Worker (Clinical)
105 S MAIN ST
FOUNTAIN, CO 80817
El Paso County (719) 217-4609

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.

What insurance does Matthew Banach accept?

Health plans from Oscar Insurance Company 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.