Organization Active NPI

Katelyn Clarkson, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1487180386
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012493 Issued in CO
Legal business name
KATELYN CLARKSON, LPC
Practice address
4570 Hilton Pkwy Ste 104
Colorado Springs, CO 80907-3565
Phone
(719) 930-5667
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Katelyn D. Clarkson, LPCNPI 1831541226
Title
Therapist/Sole Proprietor
Phone
(719) 930-5667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0012493 CO Primary

Addresses

Primary practice location

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

Mailing address

4570 Hilton Pkwy Ste 104
Colorado Springs, CO 80907-3565
Phone (719) 930-5667

Other identifiers 1

IdentifierTypeStateIssuer
901286MedicaidCO

National Provider Directory

National Provider Directory

Locations

4570 Hilton Pkwy
Ste 104
Colorado Springs, CO 80907
Phone (719) 445-6569

10 Boulder Crescent St
Ste 204G
Colorado Springs, CO 80903
Phone (719) 291-1667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1487180386",
    "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": "719-930-5667"
        },
        {
            "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": "719-930-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATELYN CLARKSON, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "CLARKSON",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "THERAPIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "719-930-5667",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901286",
            "state": "CO"
        }
    ],
    "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 Jan 18, 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.