Individual provider Active NPI

Katie Lee, LPC, MAC, CAC III

  • Professional Counselor
  • Broomfield, CO
National Provider Identifier
1669867222
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3738 Issued in CO
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

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0006067COMDAddiction (Substance Use Disorder) Counselor
0003738COMDMental Health Counselor
3738COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Behavioral Medicine LLC CurrentSince Jan 1, 2021 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.

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.

Verify at the official NPI Registry.