Individual provider Active NPI

Amy L Bassatt, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1609922566
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4830 Issued in CO
Practice address
6270 Lehman Dr
Suite 200G
Colorado Springs, CO 80918-1469
Phone
(719) 208-4164
Fax
(719) 362-4067
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4830 CO Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6270 Lehman Dr
Suite 200G
Colorado Springs, CO 80918-1469

Mailing address

PO Box 1
Monument, CO 80132-0001
Phone (719) 208-4164

Other names 1

  • Amy Schroeder Other 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

State licenses

LicenseStateTypeSpecialty
4830COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1609922566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801320001",
            "telephone_number": "719-208-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 LEHMAN DR",
            "address_2": "SUITE 200G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181469",
            "telephone_number": "719-208-4164",
            "fax_number": "719-362-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSATT",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4830",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SCHROEDER",
            "code": "5",
            "type": "Other 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 12, 2017; 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.