Individual provider Active NPI

Katelyn Marsh, MA, LAC, LPC

  • Mental Health Counselor
  • Palmer Lake, CO
National Provider Identifier
1811366974
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015781 Issued in CO
Practice address
443 S Co-105,
Palmer Lake, CO 80133
Phone
(719) 602-0914
NPI assigned
Sep 18, 2015
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0015781 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X CO

Addresses

Primary practice location

443 S Co-105,
Palmer Lake, CO 80133

Mailing address

6204 Twin Oaks Dr
Colorado Springs, CO 80918-8362
Phone (814) 221-0856

Other practice location 1

2199 S Univ Blvd
Denver, CO 80210-4711
Phone (303) 871-2000

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0015781COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1811366974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 TWIN OAKS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188362",
            "telephone_number": "814-221-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 S CO-105,",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "80133",
            "telephone_number": "719-602-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2199 S Univ Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802104711",
            "country_code": "US",
            "telephone_number": "303-871-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KATELYN",
        "credential": "MA, LAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015781",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer Lake, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.