Patricia Koren, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

181 Issued in CO

Practice address

14221 E 4TH Ave
330
Aurora, CO 80011-8735

Phone

(720) 207-5041

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• A Community Re-Entry Place Inside/Out

  • Substance Abuse Rehabilitation Facility
  • Aurora, CO
  • NPI 1184013740
  NPD (past)
• Community Re-Entry Place Inside/Out

  • Preferred Provider Organization
  • Aurora, CO
  • NPI 1780092056
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1144517095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE",
            "address_2": "330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "801118727",
            "telephone_number": "720-207-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE",
            "address_2": "330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118735",
            "telephone_number": "720-207-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREN",
        "first_name": "PATRICIA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "181",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly T Koran, AG-ACNP
• Amy C Korb, P.A.
• Pearce Jordan Korb, M.D.
• Marguerite H Korber, NP
• Jennifer Rose Kordell, MD
• Zachary A Koretz, MD
• James Korf, MD
• Lisa Lenore Korn, MD
• Lisa Ann Kornblith, LPC
• Michael Korsmo, MD

• Addiction (Substance Use Disorder) Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.