Individual provider Active NPI

Marlene Theresa Schafer, LPC, LAC, NCC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1104588946
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018336 Issued in CO
Practice address
4465 Northpark Dr Ste 485
Colorado Springs, CO 80907-4225
Phone
(719) 698-9922
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.00001814 CO
Professional Counselor 101YP2500X LPC.0018336 CO Primary

Addresses

Primary practice location

4465 Northpark Dr Ste 485
Colorado Springs, CO 80907-4225

Mailing address

4465 Northpark Dr Ste 485
Colorado Springs, CO 80907-4225
Phone (719) 698-9922

Other practice location 1

635 W Corona Ave Ste 109
Pueblo, CO 81004-1209
Phone (197) 698-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD.00001814COMDAddiction (Substance Use Disorder) Counselor
LPC.0018336COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arukah Center Addiction (Substance Use Disorder) CurrentSince Oct 9, 2022 Accepting new patients

Locations

4465 Northpark Dr
Ste 485
Colorado Springs, CO 80907
Phone (719) 698-9922

635 W Corona Ave
Ste 109
Pueblo, CO 81004
Phone (719) 698-9922

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1104588946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 NORTHPARK DR STE 485",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074225",
            "telephone_number": "719-698-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 NORTHPARK DR STE 485",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074225",
            "telephone_number": "719-698-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 W Corona Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810041209",
            "country_code": "US",
            "telephone_number": "197-698-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "MARLENE",
        "middle_name": "THERESA",
        "credential": "LPC, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.00001814",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.