Adrienne Gorlen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0013847 Issued in CO

Practice address

4570 Hilton Pkwy Ste 104
Colorado Springs, CO 80907-3565

Phone

(719) 445-6569

NPI assigned

Aug 11, 2017

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 10, 2024 through Jan 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Boulder and the Pine Wellness

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1699390393
  NPD Authorized official

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1407371362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073565",
            "telephone_number": "719-445-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073565",
            "telephone_number": "719-445-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLEN",
        "first_name": "ADRIENNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0013847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gordon, MS, ADDC
• Rashida Elisha Gordon
• Zena Gordon
• Gabriel Gorfinkle
• Priyamvada Gorijavolu
• Gorman Medical LLC
• Frances J Gorman, ADULT NP
• Karsyn Faith Gorman
• David L Gorneau
• Michael Marvin Gorsky, D.D.S.

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.