Carly Carr, LPC
Individual provider Active NPI Mental Health Counselor · Avon, CO
NPI 1437458494 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1437458494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12161 (CO)
- Practice address
- 50 Buck Creek Road
Suite 200
Avon, CO 81620 - Phone
- (970) 926-6340
- Fax
- (970) 926-6348
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12161 | CO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12161 | CO | Yes |
Addresses
Primary practice location
50 Buck Creek Road
Suite 200
Avon, CO 81620
Mailing address
50 Buck Creek Road, Suite 200
Avon, CO 81620-4330
Phone (970) 926-6340
Other providers in Avon, CO
- Pamela Bock
- Joan Carol Bornstein
- Jennifer L. Bouldry
- Debra Elaine Burns
- Nina E Campanile
- Catholic Health Initiatives Colorado
- Daniel M Chesney
- Rebecca Childs
- Alissa Claiser
- Colorado Mountain Medical, LLC
All providers in Avon, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.