Kelly A. Pipkins-Burt

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0013727 Issued in CO

Practice address

2800 Cornerstone Dr # 208
Pagosa SPGS, CO 81147-8114

Phone

(970) 507-0436

NPI assigned

Dec 20, 2018

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• KPB Consulting, LLC

  • Professional Counselor
  • Pagosa SPGS, CO
  • NPI 1285257774
  NPD Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1679045173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 BIG VALLEY DR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479359",
            "telephone_number": "970-507-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CORNERSTONE DR # 208",
            "city": "PAGOSA SPGS",
            "state": "CO",
            "postal_code": "811478114",
            "telephone_number": "970-507-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPKINS-BURT",
        "first_name": "KELLY",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0013727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennette Marie Erickson
• KPB Consulting, LLC
• Pagosa Dental Care PC
• The Pagosa Medical Group LLC

• Professional Counselor in Pagosa SPGS, CO
• Providers in Pagosa SPGS, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.