Individual provider Active NPI

Erin Caughman, M.A., LP

  • Psychologist
  • Broomfield, CO
National Provider Identifier
1154730190
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0004974 Issued in CO
Practice address
6343 W 120TH Ave Ste 234
Broomfield, CO 80020-3790
Phone
(303) 880-3421
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X PSY.0004974 CO Primary

Addresses

Primary practice location

6343 W 120TH Ave Ste 234
Broomfield, CO 80020-3790

Mailing address

6343 W 120TH Ave Ste 234
Broomfield, CO 80020-3790
Phone (303) 880-3421

Other identifiers 1

IdentifierTypeStateIssuer
9000170535MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190416002778 CO Practitioner - Clinical Psychologist 9133460397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Community Reach Center, Inc CurrentSince Feb 2, 2019 Accepting new patients
Community Reach Center, Inc CurrentSince Feb 2, 2019 Accepting new patients

Locations

11285 Highline Dr
Northglenn, CO 80233
Phone (303) 853-3400

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1154730190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 W 120TH AVE STE 234",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203790",
            "telephone_number": "303-880-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 W 120TH AVE STE 234",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203790",
            "telephone_number": "303-880-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHMAN",
        "first_name": "ERIN",
        "credential": "M.A., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000170535",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.