Individual provider Active NPI

Clare Ann Carr, LPC, CAC II

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1194939686
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0003600 Issued in CO
Practice address
3190 Benet LN
Colorado Springs, CO 80921-1509
Phone
(719) 633-0655
Fax
(719) 471-0403
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0996233 CO
Mental Health Counselor 101YM0800X 3600 CO
Professional Counselor 101YP2500X 3600 CO
Professional Counselor 101YP2500X LPC.0003600 CO Primary

Addresses

Primary practice location

3190 Benet LN
Colorado Springs, CO 80921-1509

Mailing address

3190 Benet LN
Colorado Springs, CO 80921-1509
Phone (719) 633-0655

Other identifiers 2

IdentifierTypeStateIssuer
LPC.0003600OtherCOLICENSED PROFESSIONAL COUNSELOR
ACC.0996233OtherCOCERTIFIED ADDICTION SPECIALIST

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

State licenses

LicenseStateTypeSpecialty
ACC.0996233COMDAddiction (Substance Use Disorder) Counselor
LPC.0003600COMDProfessional Counselor
3600COMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1194939686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 BENET LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809211509",
            "telephone_number": "719-633-0655",
            "fax_number": "719-471-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 BENET LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809211509",
            "telephone_number": "719-633-0655",
            "fax_number": "719-471-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CLARE",
        "middle_name": "ANN",
        "credential": "LPC, CAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0996233",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "3600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0003600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC.0003600",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ADDICTION SPECIALIST",
            "identifier": "ACC.0996233",
            "state": "CO"
        }
    ],
    "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 Apr 15, 2022; 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.