Active NPI
Jeremy Hartke, M.A.
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1467830356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0014742
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0014742 | CO | MD | Mental Health Counselor |
| 2969 | KS | MD | Speech-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.