Active NPI
Clarence Keon Bumpas
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1144871492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0021021
- Practice address
- 2565 Airport Rd
Colorado Springs, CO 80910-3119 - Phone
- (719) 632-3570
- NPI assigned
- Sep 26, 2019
- Last updated
- Mar 7, 2026
- Sex
- Male
- 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.0021021 | CO | Primary |
Addresses
Primary practice location
2565 Airport Rd
Colorado Springs, CO 80910-3119
Mailing address
511 Comanche Village Dr
Fountain, CO 80817-1667
Phone (719) 666-4134
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0021021 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Doorways Counseling, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Denver, CO
- NPI 1144707878
-
dba Genesis Outpatient
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1619370343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772841600000",
"number": "1144871492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 COMANCHE VILLAGE DR",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808171667",
"telephone_number": "719-666-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 AIRPORT RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103119",
"telephone_number": "719-632-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMPAS",
"first_name": "CLARENCE",
"middle_name": "KEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-26",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0021021",
"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 Mar 7, 2026; 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.