Active NPI
Sharlene Kathryn Kraemer, LPC, NCC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1487672069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0013471
- Practice address
- 375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197 - Phone
- (970) 310-3406
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- 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.0013471 | CO | |
| Professional Counselor | 101YP2500X | LPC.0013471 | CO | Primary |
| Mental Health Counselor | 101YM0800X | MH7022 | FL |
Addresses
Primary practice location
375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197
Mailing address
375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197
Phone (970) 310-3406
Other practice location 1
1537 Riverside Ave
Fort Collins, CO 80524-4386
Phone (970) 310-3406
Other practice location 2
208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 310-3406
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48774 | Other | NBCC | |
| 9000147579 | Medicaid | CO | |
| 763533800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926003315 | CO | Practitioner - Mental Health Counselor | 6103357496 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7022 | FL | MD | Mental Health Counselor |
| LPC.0013471 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1487672069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 E HORSETOOTH RD BLDG 3101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253197",
"telephone_number": "970-310-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E HORSETOOTH RD BLDG 3101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253197",
"telephone_number": "970-310-3406"
}
],
"practiceLocations": [
{
"address_1": "1537 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805244386",
"country_code": "US",
"telephone_number": "970-310-3406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 Racquette Dr",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805244851",
"country_code": "US",
"telephone_number": "970-310-3406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAEMER",
"first_name": "SHARLENE",
"middle_name": "KATHRYN",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0013471",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0013471",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7022",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCC",
"identifier": "48774",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000147579",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "763533800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.