Individual provider Active NPI

Emily Carleton, LPC

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1396472841
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0017479 Issued in CO
Practice address
2627 Redwing Rd Ste 130
Fort Collins, CO 80526-6321
Phone
(970) 893-7600
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0017479 CO Primary

Addresses

Primary practice location

2627 Redwing Rd Ste 130
Fort Collins, CO 80526-6321

Mailing address

517 Cowan St
Fort Collins, CO 80524-3159
Phone (615) 556-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0017479COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Limited Mental Health PastSince Aug 7, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1396472841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 COWAN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243159",
            "telephone_number": "615-556-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 130",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266321",
            "telephone_number": "970-893-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLETON",
        "first_name": "EMILY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.