Active NPI
Craig Salerno, MA, LPC, LAC
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1023406865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12904
- Practice address
- 6666 Gunpark Dr Ste 200
Boulder, CO 80301-3396 - Phone
- (973) 818-7793
- NPI assigned
- Jan 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 12904 | CO | Primary |
Addresses
Primary practice location
6666 Gunpark Dr Ste 200
Boulder, CO 80301-3396
Mailing address
6666 Gunpark Dr Ste 200
Boulder, CO 80301-3396
Phone (973) 818-7793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 30TH St
Boulder, CO 80301-1088
Phone (720) 885-4345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12904 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig Salerno Counseling | Mental Health | Current | Accepting new patients |
Locations
1800 30th St
Ste 303
Boulder, CO 80301
Phone (720) 885-4345
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1023406865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6666 GUNPARK DR STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013396",
"telephone_number": "973-818-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6666 GUNPARK DR STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013396",
"telephone_number": "973-818-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALERNO",
"first_name": "CRAIG",
"credential": "MA, LPC, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-01",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "12904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.