Active NPI
Katie-Beth Whitcomb, MA, LPC
- Mental Health Counselor
- Broomfield, CO
National Provider Identifier
1376885848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0013661
- Practice address
- 80 Garden Ctr Ste 368
Broomfield, CO 80020-1735 - Phone
- (303) 253-2342
- NPI assigned
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0013661 | CO | Primary |
Addresses
Primary practice location
80 Garden Ctr Ste 368
Broomfield, CO 80020-1735
Mailing address
80 Garden Ctr Ste 368
Broomfield, CO 80020-1735
Phone (303) 253-2342
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 |
|---|---|---|---|
| 0013661 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waking Life Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
6363 W 120th Ave
Ste 200
Broomfield, CO 80020
Phone (303) 253-2342
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.
-
- Mental Health Counselor
- Broomfield, CO
- NPI 1114386885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1376885848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 GARDEN CTR STE 368",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201735",
"telephone_number": "303-253-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GARDEN CTR STE 368",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201735",
"telephone_number": "303-253-2342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "KATIE-BETH",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0013661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.