Organization Active NPI

Carol F. Myers, LPC, LLC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1508318007
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4259 Issued in CO
Legal business name
CAROL F. MYERS, LPC, LLC
Practice address
2985 Broadmoor Valley Rd
Colorado Springs, CO 80906-4484
Phone
(719) 640-7630
Fax
(719) 373-1725
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Mrs. Carol F Myers, LPCNPI 1699099846
Title
Owner
Phone
(719) 640-7630

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 4259 CO Primary

Addresses

Primary practice location

2985 Broadmoor Valley Rd
Colorado Springs, CO 80906-4484

Mailing address

3283 Electra Dr
Colorado Springs, CO 80906-1088
Phone (719) 640-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130001482 CO Part B Supplier - Clinic/Group Practice 0648623363 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

2985 Broadmoor Valley Rd
Colorado Springs, CO 80906
Phone (719) 640-7630

972 Pico Pt
Colorado Springs, CO 80905
Phone (719) 640-7630

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": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1508318007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 ELECTRA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061088",
            "telephone_number": "719-640-7630",
            "fax_number": "719-373-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 BROADMOOR VALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064484",
            "telephone_number": "719-640-7630",
            "fax_number": "719-373-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL F. MYERS, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-640-7630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4259",
            "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 Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.