Active NPI
Kathleen Leroy
- Professional Counselor
- Boulder, CO
National Provider Identifier
1134586449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0012692
- Practice address
- 5412 Idylwild TRL
#100
Boulder, CO 80301-3523 - Phone
- (720) 924-7559
- NPI assigned
- Jan 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0012692 | CO | Primary |
Addresses
Primary practice location
5412 Idylwild TRL
#100
Boulder, CO 80301-3523
Mailing address
PO Box 21542
Boulder, CO 80308-4542
Phone (720) 346-1401
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0012692 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1134586449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21542",
"city": "BOULDER",
"state": "CO",
"postal_code": "803084542",
"telephone_number": "720-346-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5412 IDYLWILD TRL",
"address_2": "#100",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013523",
"telephone_number": "720-924-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.