Individual provider Active NPI

Sharla Kae Alsum, MA, LPC, NCC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1174928345
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0013789 Issued in CO
Practice address
1502 S College Ave Ste 1&2
Fort Collins, CO 80524-4116
Phone
(970) 541-0596
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0013789 CO Primary

Addresses

Primary practice location

1502 S College Ave Ste 1&2
Fort Collins, CO 80524-4116

Mailing address

1502 S College Ave Ste 1&2
Fort Collins, CO 80524-4116
Phone (970) 541-0596

Other practice location 1

612 S College Ave Ste 21
Fort Collins, CO 80524-3071
Phone (970) 541-0596

Other identifiers 1

IdentifierTypeStateIssuer
329646OtherCONATIONAL BOARD OF CERTIFIED COUNSELORS

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0013789COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174928345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S COLLEGE AVE STE 1&2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244116",
            "telephone_number": "970-541-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S COLLEGE AVE STE 1&2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244116",
            "telephone_number": "970-541-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S College Ave Ste 21",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243071",
            "country_code": "US",
            "telephone_number": "970-541-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSUM",
        "first_name": "SHARLA",
        "middle_name": "KAE",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFIED COUNSELORS",
            "identifier": "329646",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.