Active NPI
Marsha L Kravetz, LMFT, LPC
- Counselor
- Broomfield, CO
National Provider Identifier
1467539098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5250
- Practice address
- 1006 Depot Hill Rd Ste D
Broomfield, CO 80020-6741 - Phone
- (970) 368-3282
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4188 | TX | |
| Counselor | 101Y00000X | 5250 | CO | Primary |
Addresses
Primary practice location
1006 Depot Hill Rd Ste D
Broomfield, CO 80020-6741
Mailing address
1006 Depot Hill Rd Ste D
Broomfield, CO 80020-6741
Phone (970) 368-3282
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028547001 | Medicaid | TX | |
| 124221 | Other | TX | SUPERIOR PIN |
| 223453 | Other | TX | PHCS PIN |
| 00G981 | Other | TX | BCBSTX GRP PIN |
| 1336198894 | Other | GRP NPI NUMBER | |
| 2219619 | Other | TX | FIRSTHEALTH PIN |
| 83360L | Other | TX | BCBSTX IND PIN |
| 75205167613 | Other | TX | PBH PIN |
| 10027416 | Other | TX | AMERIGROUP PIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5250 | CO | MD | Counselor |
| 4188 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467539098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 DEPOT HILL RD STE D",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800206741",
"telephone_number": "970-368-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 DEPOT HILL RD STE D",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800206741",
"telephone_number": "970-368-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVETZ",
"first_name": "MARSHA",
"middle_name": "L",
"credential": "LMFT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4188",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "5250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028547001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR PIN",
"identifier": "124221",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PIN",
"identifier": "223453",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX GRP PIN",
"identifier": "00G981",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP NPI NUMBER",
"identifier": "1336198894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHEALTH PIN",
"identifier": "2219619",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX IND PIN",
"identifier": "83360L",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PBH PIN",
"identifier": "75205167613",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PIN",
"identifier": "10027416",
"state": "TX"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.