Individual provider Active NPI

Jeremy Hartke, M.A.

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1467830356
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014742 Issued in CO
Practice address
3230 E Woodmen Rd Ste 110
Colorado Springs, CO 80920-8502
Phone
(719) 623-2356
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0014742 CO
Pastoral Counselor 101YP1600X 2969 KS
Professional Counselor 101YP2500X LPC.0014742 CO Primary

Addresses

Primary practice location

3230 E Woodmen Rd Ste 110
Colorado Springs, CO 80920-8502

Mailing address

600 N Persimmon Dr
Olathe, KS 66061-5917
Phone (913) 271-4760

Other practice location 1

21350 W 153rd St
Olathe, KS 66061-5413
Phone (913) 322-4900

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0014742COMDMental Health Counselor
2969KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1467830356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PERSIMMON DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615917",
            "telephone_number": "913-271-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E WOODMEN RD STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208502",
            "telephone_number": "719-623-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21350 W 153rd St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660615413",
            "country_code": "US",
            "telephone_number": "913-322-4900",
            "fax_number": "913-780-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTKE",
        "first_name": "JEREMY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014742",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "KS",
            "license": "2969",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.