Individual provider Active NPI

L. Carla Lemmon, PSY.D.

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1073670964
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2517 Issued in CO
Practice address
19 E Willamette Ave
# A
Colorado Springs, CO 80903-4944
Phone
(719) 635-7638
Fax
(719) 635-1828
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2517 CO Primary

Addresses

Primary practice location

19 E Willamette Ave
# A
Colorado Springs, CO 80903-4944

Mailing address

19 E Willamette Ave
Suite a
Colorado Springs, CO 80903-4944
Phone (719) 635-7638

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
I20150305000299 CO Practitioner - Clinical Psychologist 4981826815 Reassigns benefits to 1 organization
Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 E Willamette Ave
Suite a
Colorado Springs, CO 80903-4944
Phone (719) 635-7638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
711LAMDRegistered Dietitian
2517COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lemmon Psychological Services, LLC Clinical CurrentSince Feb 10, 2021 Accepting new patients
Hayes Social Work Services, LLC CurrentSince Feb 10, 2021 Accepting new patients

Locations

19 E Willamette Ave
Ste A
Colorado Springs, CO 80903
Phone (719) 510-1844

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1073670964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E WILLAMETTE AVE",
            "address_2": "SUITE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034944",
            "telephone_number": "719-635-7638",
            "fax_number": "719-635-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E WILLAMETTE AVE",
            "address_2": "# A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034944",
            "telephone_number": "719-635-7638",
            "fax_number": "719-635-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMON",
        "first_name": "L.",
        "middle_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.