Active NPI
Alexander Palache Gutterman, LPCC
- Mental Health Counselor
- Carbondale, CO
National Provider Identifier
1508688268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0020050
- Practice address
- 811 Main CT
Carbondale, CO 81623-1851 - Phone
- (218) 349-9610
- NPI assigned
- Oct 24, 2024
- Last updated
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0020050 | CO | Primary |
Addresses
Primary practice location
811 Main CT
Carbondale, CO 81623-1851
Mailing address
811 Main CT
Carbondale, CO 81623-1851
Phone (218) 349-9610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC.0020050 | Other | CO | STATE OF CORADO |
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 |
|---|---|---|---|
| LPCC.0020050 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1508688268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 MAIN CT",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816231851",
"telephone_number": "218-349-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MAIN CT",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816231851",
"telephone_number": "218-349-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTERMAN",
"first_name": "ALEXANDER",
"middle_name": "PALACHE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0020050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CORADO",
"identifier": "LPCC.0020050",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.