Katherine McCorkle, CAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC0997394 Issued in CO

Practice address

1515 W Parkway LN
Lamar, CO 81052-3678

Phone

(719) 688-7570

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1013507250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W PARKWAY LN",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523678",
            "telephone_number": "719-688-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W PARKWAY LN",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523678",
            "telephone_number": "719-688-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "KATHERINE",
        "credential": "CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC0997394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dee Ann Lyons, FNP
• Jacob B Mackey, D.D.S.
• Kent Allen Madsen, P.T.
• Larry Marez
• Melanie L Marshall, D.O.
• Patrick Kevin McGrath, O.D.
• Jessica Sue Medina, LPCC
• Keith Irvin Messersmith, D.D.S,
• Brian Scott Michaud, D.O.
• Louise None Middaugh, P.A.

• Addiction (Substance Use Disorder) Counselor in Lamar, CO
• Providers in Lamar, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.