Kaitlyn Lanae Carr

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1935 Dominion Way Ste 101
Colorado Springs, CO 80918-1464

Phone

(719) 423-7428

NPI assigned

Nov 6, 2019

Last updated

Oct 4, 2022By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sagebrush Counseling LLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1710680368
  Medicare reassignment NPD
• Sagebrush Counseling

  • Mental Health Counselor
  • Denver, CO
  • NPI 1477314516
  NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1215571856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 DOMINION WAY STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181464",
            "telephone_number": "719-423-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 DOMINION WAY STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181464",
            "telephone_number": "719-423-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 E Race Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434661",
            "country_code": "US",
            "telephone_number": "501-305-2359",
            "fax_number": "501-305-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "KAITLYN",
        "middle_name": "LANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Carpenter
• Annemarie Carr, WHNP
• Brian Carr
• Clare Ann Carr, LPC, CAC II
• Clay Bryan Carr
• Rachel Carr
• Robyn S Carr
• Emma Carranza
• Jeremy Carrasquillo Domena
• Adianys Carrasquillo Rivera

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.