Individual provider Active NPI

Katelynn Dwyer Pucci, MA, LPC, LCAT

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1487265484
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
.0022149 Issued in CO
Practice address
5585 Erindale Dr Ste 204
Colorado Springs, CO 80918-6969
Phone
(719) 345-2424
Fax
(855) 719-2549
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X .0022149 CO Primary

Addresses

Primary practice location

5585 Erindale Dr Ste 204
Colorado Springs, CO 80918-6969

Mailing address

4400 S Monaco St Apt 1111
Denver, CO 80237-3454
Phone (516) 592-7337

Other names 1

  • Katelynn Dwyer Former name

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
.0022149COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Overcomers Counseling Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1487265484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S MONACO ST APT 1111",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373454",
            "telephone_number": "516-592-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 ERINDALE DR STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186969",
            "telephone_number": "719-345-2424",
            "fax_number": "855-719-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "KATELYNN",
        "middle_name": "DWYER",
        "credential": "MA, LPC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": ".0022149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "DWYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 7, 2025; 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.