Individual provider Active NPI

Katherinne Melgar

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1679089536
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
411 Lakewood Cir Ste C201
Colorado Springs, CO 80910
Phone
(719) 290-7130
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

411 Lakewood Cir Ste C201
Colorado Springs, CO 80910

Mailing address

2010 Piros Dr
Colorado Springs, CO 80915-4202
Phone (719) 290-7130

Other practice location 1

6050 Erin Park Dr
Colorado Springs, CO 80918-3488
Phone (719) 465-3989

Other practice location 2

6050 Erin Park Dr
Colorado Springs, CO 80918-3488
Phone (719) 465-3989

Other identifiers 1

IdentifierTypeStateIssuer
1437321189OtherCOTRI-CARE (HEALTHNET)

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

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1679089536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PIROS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809154202",
            "telephone_number": "719-290-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAKEWOOD CIR STE C201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80910",
            "telephone_number": "719-290-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Erin Park Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183488",
            "country_code": "US",
            "telephone_number": "719-465-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 Erin Park Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183488",
            "country_code": "US",
            "telephone_number": "719-465-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELGAR",
        "first_name": "KATHERINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE (HEALTHNET)",
            "identifier": "1437321189",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.