Active NPI
Kate Dalthorp, MA
- Mental Health Counselor
- Edwards, CO
National Provider Identifier
1376790337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3135
- Practice address
- 90 Lariat Loop
Edwards, CO 81620 - Phone
- (970) 926-8558
- Fax
- (970) 926-6845
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6139 | CO | |
| Mental Health Counselor | 101YM0800X | 3135 | CO | Primary |
Addresses
Primary practice location
90 Lariat Loop
Edwards, CO 81620
Mailing address
PO Box 19000
PMB 240
Avon, CO 81620
Phone (970) 926-8558
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3135 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Center of the Rockies | Mental Health | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Edwards, CO
- NPI 1053454611
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1376790337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19000",
"address_2": "PMB 240",
"city": "AVON",
"state": "CO",
"postal_code": "81620",
"telephone_number": "970-926-8558",
"fax_number": "970-926-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 LARIAT LOOP",
"city": "EDWARDS",
"state": "CO",
"postal_code": "81620",
"telephone_number": "970-926-8558",
"fax_number": "970-926-6845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTHORP",
"first_name": "KATE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6139",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "3135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.