Individual provider Active NPI

Craig Salerno, MA, LPC, LAC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1023406865
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12904 Issued in CO
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

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503002778 CO Practitioner - Mental Health Counselor 2668812884 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
12904COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Salerno Counseling Mental Health CurrentSince Mar 26, 2024 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

Verify at the official NPI Registry.