Individual provider Active NPI

Kelley Harrow, LAC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1639632979
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016311 Issued in CO
Practice address
309 E Saint Vrain St
Colorado Springs, CO 80903-1123
Phone
(719) 387-1420
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ACD.0001142 CO
Professional Counselor 101YP2500X LPC.0016311 CO Primary

Addresses

Primary practice location

309 E Saint Vrain St
Colorado Springs, CO 80903-1123

Mailing address

309 E Saint Vrain St
Colorado Springs, CO 80903-1123
Phone (719) 387-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219004225 CO Practitioner - Mental Health Counselor 9537696117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001142COMDMental Health Counselor
LPC.0016311COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Eop P.C. Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Twocor Projects Past Accepting new patients

Locations

309 E Saint Vrain St
Colorado Springs, CO 80903
Phone (719) 233-4020

731 N Weber St
Ste 205
Colorado Springs, CO 80903
Phone (719) 339-6147

731 N Weber St
Colorado Springs, CO 80903
Phone (719) 301-0172

731 N Weber St
Ste 215
Colorado Springs, CO 80903
Phone (719) 301-5458

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.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1639632979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E SAINT VRAIN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031123",
            "telephone_number": "719-387-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E SAINT VRAIN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031123",
            "telephone_number": "719-387-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROW",
        "first_name": "KELLEY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "ACD.0001142",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.