Active NPI
Katie Lee, LPC, MAC, CAC III
- Professional Counselor
- Broomfield, CO
National Provider Identifier
1669867222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3738
- Practice address
- 11705 Airport Way Ste 304
Broomfield, CO 80021-2711 - Phone
- (720) 633-9693
- NPI assigned
- Mar 31, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0003738 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0006067 | CO | |
| Professional Counselor | 101YP2500X | 3738 | CO | Primary |
Addresses
Primary practice location
11705 Airport Way Ste 304
Broomfield, CO 80021-2711
Mailing address
2050 S Oneida St Ste 102
Denver, CO 80224-2428
Other practice location 1
2050 S Oneida St Ste 102
Denver, CO 80224-2428
Phone (720) 633-9693
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 |
|---|---|---|---|
| 0006067 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 0003738 | CO | MD | Mental Health Counselor |
| 3738 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Behavioral Medicine LLC | Current | Accepting new patients |
Locations
2050 S Oneida St
Ste 102
Denver, CO 80224
Phone (720) 633-9693
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.
-
- Clinical Psychologist
- Denver, CO
- NPI 1215527809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1669867222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S ONEIDA ST STE 102",
"city": "DENVER",
"state": "CO",
"postal_code": "802242428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11705 AIRPORT WAY STE 304",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800212711",
"telephone_number": "720-633-9693"
}
],
"practiceLocations": [
{
"address_1": "2050 S Oneida St Ste 102",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802242428",
"country_code": "US",
"telephone_number": "720-633-9693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KATIE",
"credential": "LPC, MAC, CAC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0003738",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "0006067",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "3738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.