Individual provider Active NPI

Kate Ivey, MA

  • Professional Counselor
  • Parker, CO
National Provider Identifier
1326313255
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011900 Issued in CO
Practice address
18425 Pony Express Dr Unit 113B
Parker, CO 80134-9620
Phone
(720) 605-4200
NPI assigned
Mar 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NLC-13881 CO
Mental Health Counselor 101YM0800X NLC-13881 CO
Professional Counselor 101YP2500X LPC.0011900 CO Primary

Addresses

Primary practice location

18425 Pony Express Dr Unit 113B
Parker, CO 80134-9620

Mailing address

5750 S Walden St
Centennial, CO 80015-5911
Phone (303) 519-7390

Other practice location 1

5750 S Walden St
Centennial, CO 80015-5911
Phone (303) 519-7390

Other identifiers 1

IdentifierTypeStateIssuer
02656027MedicaidCO

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
NLC-13881COMDMental Health Counselor
LPC.0011900COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1326313255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 S WALDEN ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155911",
            "telephone_number": "303-519-7390",
            "fax_number": "303-519-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 PONY EXPRESS DR UNIT 113B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349620",
            "telephone_number": "720-605-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 S Walden St",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155911",
            "country_code": "US",
            "telephone_number": "303-519-7390",
            "fax_number": "303-519-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "KATE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "NLC-13881",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC-13881",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02656027",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.