Active NPI
Kari L Gonzales, M.A. LPC
- Professional Counselor
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0012723
- Practice address
- 420 N 8TH St
Grand Junction, CO 81501-3307 - Phone
- (913) 568-3331
- NPI assigned
- Jan 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | |||
| Professional Counselor | 101YP2500X | LPC.0012723 | CO | Primary |
Addresses
Primary practice location
420 N 8TH St
Grand Junction, CO 81501-3307
Mailing address
420 North 8TH Street
Grand Junction, CO 81501-1523
Other names 1
- Kari L Shoemake
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231116002900 | CO | Practitioner - Mental Health Counselor | 0941657662 | 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
- Group practices
Practice addresses (Care Compare)
875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 572-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversus Health Inc | Current | Accepting new patients | |
| Diversus Health Inc | Current | Accepting new patients |
Locations
460 County Road 43
Ste 7
Bailey, CO 80421
Phone (303) 838-5013
328 10th St
Calhan, CO 80808
413 Security Blvd
Colorado Springs, CO 80911
115 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6340
220 Ruskin Dr
Colorado Springs, CO 80910
Phone (719) 572-6150
6208 Lehman Dr
Colorado Springs, CO 80918
Phone (719) 572-6133
1795 Jet Wing Dr
Colorado Springs, CO 80916
Phone (719) 572-6111
179 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6300
875 W Moreno Ave
Colorado Springs, CO 80905
Phone (719) 572-6200
18401 Highway 24
Ste 119
Woodland Park, CO 80863
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1043260243
CO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1295269561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1104248335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NORTH 8TH STREET",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815011523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N 8TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013307",
"telephone_number": "913-568-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "KARI",
"middle_name": "L",
"credential": "M.A. LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARI",
"last_name": "SHOEMAKE",
"middle_name": "L",
"credential": "MA, LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.