Individual provider Active NPI

Eddie Konold, M.A., L.P.C., CAC II

  • Mental Health Counselor
  • Steamboat Springs, CO
National Provider Identifier
1013260751
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0011137 Issued in CO
Practice address
737 Lincoln Blvd
Steamboat Springs, CO 80477-0489
Phone
(970) 846-4620
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0011137 CO Primary

Addresses

Primary practice location

737 Lincoln Blvd
Steamboat Springs, CO 80477-0489

Mailing address

PO Box 770489
Steamboat Springs, CO 80477-0489
Phone (970) 846-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0011137COMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1013260751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770489",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804770489",
            "telephone_number": "970-846-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 LINCOLN BLVD",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804770489",
            "telephone_number": "970-846-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOLD",
        "first_name": "EDDIE",
        "credential": "M.A., L.P.C., CAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0011137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.