Whitney K Cline

Individual provider Active NPI Professional Counselor · Salida, CO

NPI 1619521135 · NPPES record last updated Jul 17, 2023

Key facts

NPI
1619521135
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC.00019786 (CO)
Practice address
111 Vesta Rd
Salida, CO 81201-9327
Phone
(303) 829-5803
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
New York, NY 10087

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260415002565 CO Practitioner - Mental Health Counselor 9931675147 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPC.00019786COMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.00019786 CO Yes
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

111 Vesta Rd
Salida, CO 81201-9327

Mailing address

10506 Willow Ave
Poncha Springs, CO 81201-8013
Phone (303) 829-5803

Other names

  • Whitney K Kerr Former name

Other providers in Salida, CO

All providers in Salida, CO · Professional Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.