Active NPI
Carin L Palmer
- Professional Counselor
- Durango, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0011540
- Practice address
- 1 Mercado St
Durango, CO 81301-7306 - Phone
- (970) 385-9850
- Fax
- (970) 385-9854
- NPI assigned
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC.0011540 | CO | Primary |
Addresses
Primary practice location
1 Mercado St
Durango, CO 81301-7306
Mailing address
11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637
Phone (503) 508-8639
Other practice location 1
11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637
Phone (303) 617-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812000826 | TX | Practitioner - Mental Health Counselor | 8022556901 | Reassigns benefits to 2 organizations |
| I20260129004017 | CO | Practitioner - Mental Health Counselor | 8022556901 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0011540 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip R. Taft Psy.D. PLLC | Professional | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
715 W 2nd Ave
Corsicana, TX 75110
Phone (903) 872-4442
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
CO, Professional, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1629314778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142637",
"telephone_number": "503-508-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017306",
"telephone_number": "970-385-9850",
"fax_number": "970-385-9854"
}
],
"practiceLocations": [
{
"address_1": "11059 E Bethany Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800142637",
"country_code": "US",
"telephone_number": "303-617-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "CARIN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0011540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.