Individual provider Active NPI

Gretchen Lynn Charlton

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1265938849
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019671 Issued in CO
Practice address
1314 Eagle View Dr
Colorado Springs, CO 80909-2916
Phone
(719) 229-7356
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC.0019671 CO Primary

Addresses

Primary practice location

1314 Eagle View Dr
Colorado Springs, CO 80909-2916

Mailing address

1314 Eagle View Dr
Colorado Springs, CO 80909-2916
Phone (719) 229-7356

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
I20240910004322 CO Practitioner - Mental Health Counselor 0345780870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rom 12-2 CounselingGroup PAC ID 0042657009, 3 clinicians

Practice addresses (Care Compare)

660 Southpointe CT
Suite 200
Colorado Springs, CO 80906-3874
Phone (719) 465-2582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0019671COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rom 12-2 Counseling Professional CurrentSince Aug 27, 2024 Accepting new patients

Locations

660 Southpointe Ct
Ste 200
Colorado Springs, CO 80906
Phone (719) 465-2582

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1265938849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 EAGLE VIEW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092916",
            "telephone_number": "719-229-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 EAGLE VIEW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092916",
            "telephone_number": "719-229-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "GRETCHEN",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.