Active NPI
Kersten Kate Wilson, LPC
- Professional Counselor
- Glenwood Springs, CO
National Provider Identifier
1497074652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5683
- Practice address
- 6916 Highway 82
Glenwood Springs, CO 81601-9435 - Phone
- (970) 945-2583
- Fax
- (970) 928-8852
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5683 | CO | Primary |
Addresses
Primary practice location
6916 Highway 82
Glenwood Springs, CO 81601-9435
Mailing address
515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 683-7107
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5683 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1497074652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 28 3/4 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815015016",
"telephone_number": "970-683-7107",
"fax_number": "970-683-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6916 HIGHWAY 82",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816019435",
"telephone_number": "970-945-2583",
"fax_number": "970-928-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KERSTEN",
"middle_name": "KATE",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.