Individual provider Active NPI

Carol Lou Selander, M.S.

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1073758587
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1755 Issued in CO
Practice address
1400 S Colorado Blvd
Suite 410
Denver, CO 80222-3648
Phone
(303) 321-1113
Fax
(303) 321-1113
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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 1755 CO Primary

Addresses

Primary practice location

1400 S Colorado Blvd
Suite 410
Denver, CO 80222-3648

Mailing address

1400 S Colorado Blvd
Suite 410
Denver, CO 80222-3648
Phone (303) 321-1113

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
I20250304001989 CO Practitioner - Mental Health Counselor 0143741314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1755COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Cherry Creek Counseling Center Mental Health CurrentSince Apr 2, 1998 Accepting new patients

Locations

1400 S Colorado Blvd
Ste 410
Denver, CO 80222
Phone (303) 321-1113

1400 S Colorado Blvd
Ste 460
Denver, CO 80222
Phone (303) 321-1113

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1073758587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S COLORADO BLVD",
            "address_2": "SUITE 410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223648",
            "telephone_number": "303-321-1113",
            "fax_number": "303-321-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S COLORADO BLVD",
            "address_2": "SUITE 410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223648",
            "telephone_number": "303-321-1113",
            "fax_number": "303-321-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELANDER",
        "first_name": "CAROL",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.