Individual provider Active NPI

Lori Christine Kucharski, PHD, LMFT-S, LPC

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1700034527
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
848 Issued in CO
Practice address
1326 Shasta Dr
Colorado Springs, CO 80910-1920
Phone
(719) 360-2440
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 848 CO Primary
Professional Counselor 101YP2500X 5205 CO

Addresses

Primary practice location

1326 Shasta Dr
Colorado Springs, CO 80910-1920

Mailing address

1326 Shasta Dr
Colorado Springs, CO 80910-1920
Phone (719) 360-2440

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
I20240806002767 CO Practitioner - Marriage and Family Therapist 2163969353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5205COMDProfessional Counselor
848COMDPsychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1700034527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 SHASTA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101920",
            "telephone_number": "719-360-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 SHASTA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101920",
            "telephone_number": "719-360-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHARSKI",
        "first_name": "LORI",
        "middle_name": "CHRISTINE",
        "credential": "PHD, LMFT-S, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "848",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.