Individual provider Active NPI

Carolyn Melissa Hammock, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1396132668
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0001215 Issued in CO
Practice address
3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone
(719) 460-7813
Fax
(719) 387-4645
NPI assigned
Apr 23, 2015
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0001215 CO Primary

Addresses

Primary practice location

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072

Mailing address

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone (719) 460-7813

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
I20240404002163 CO Practitioner - Marriage and Family Therapist 4082845193 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3630 Sinton Rd
Suite 100
Colorado Springs, CO 80907-5072
Phone (719) 460-7813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado TMS Center, LLC Current Accepting new patients

Locations

3225 International Cir
Ste 100
Colorado Springs, CO 80910
Phone (719) 471-7206

3630 Sinton Rd
Ste 100
Colorado Springs, CO 80907
Phone (719) 359-8812

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1396132668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-460-7813",
            "fax_number": "719-387-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-460-7813",
            "fax_number": "719-387-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOCK",
        "first_name": "CAROLYN",
        "middle_name": "MELISSA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.