Individual provider Active NPI

Karli J Lamb, BA

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1255735353
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0015436 Issued in CO
Practice address
19 Old Town SQ Ste 25
Fort Collins, CO 80524-2471
Phone
(970) 397-7524
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 0015436 CO Primary

Addresses

Primary practice location

19 Old Town SQ Ste 25
Fort Collins, CO 80524-2471

Mailing address

2221 Milton LN
Fort Collins, CO 80524-2673
Phone (970) 397-7524

Other practice location 1

1537 Riverside Ave
Fort Collins, CO 80524-4386
Phone (970) 310-3406

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
0015436COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kindful Life, LLC CurrentSince Aug 9, 2020 Accepting new patients

Locations

19 Old Town Sq
Ste 25
Fort Collins, CO 80524
Phone (970) 397-7524

Organizations & group practices 1

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1255735353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 MILTON LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242673",
            "telephone_number": "970-397-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD TOWN SQ STE 25",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242471",
            "telephone_number": "970-397-7524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1537 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244386",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "KARLI",
        "middle_name": "J",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0015436",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 3, 2020; 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.