Karen W. Colvin, MD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

34666 Issued in CO

Practice address

125 W Palmer Lake Dr
Pueblo West, CO 81007-2876

Phone

(719) 547-8803

Fax

(719) 547-8806

NPI assigned

Apr 21, 2011

Last updated

Nov 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daybreak Consultants, P.C.

  • Community/Behavioral Health Agency
  • Pueblo, CO
  • NPI 1023669660
  NPD Authorized official
• Soaring Eagles Center for Autism

  • Behavior Analyst
  • Pueblo West, CO
  • NPI 1225207400
  Authorized official Same address or phone
• Soaring Eagles Center for Autism

  dba Seca HCBS Services

  • Community/Behavioral Health Agency
  • Pueblo West, CO
  • NPI 1538791330
  Authorized official Same address or phone
• Total Life Care, LLC

  • Family Medicine Physician
  • Colorado City, CO
  • NPI 1679516348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1144511445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7876",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810070876",
            "telephone_number": "719-547-8803",
            "fax_number": "719-547-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W PALMER LAKE DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810072876",
            "telephone_number": "719-547-8803",
            "fax_number": "719-547-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "KAREN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CO",
            "license": "34666",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "34666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000151800",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80986226",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Joaquin Cisneros, PHARM D.
• Reece Cochran, DDS
• Colorado Compass Network
• Colorado Compass Network
• Colorado Dental Professionals, LLC (Sangre de Cristo Dental Care)
• Compass Rose Counseling, LLC
• Complete Communication Clinic LLC
• Charity Ann Corning, D.V.M.
• Carole M Crawford, M.S, R.N., C.S, APN
• Crossroads Turning Points Inc

• Mental Health Counselor in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.