Individual provider Active NPI

Katelyn Clarkson, LPC, CAC II

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1831541226
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012493 Issued in CO
Practice address
4570 Hilton Pkwy Ste 104
Colorado Springs, CO 80907-3565
Phone
(719) 930-5667
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0007959 CO
Professional Counselor 101YP2500X 0012493 CO Primary

Addresses

Primary practice location

4570 Hilton Pkwy Ste 104
Colorado Springs, CO 80907-3565

Mailing address

4570 Hilton Pkwy Ste 104
Colorado Springs, CO 80907-3565
Phone (719) 930-5667

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
0007959COMDAddiction (Substance Use Disorder) Counselor
0012493COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Katelyn Clarkson, LPC Professional CurrentSince Feb 13, 2022 Accepting new patients

Locations

4570 Hilton Pkwy
Ste 104
Colorado Springs, CO 80907
Phone (719) 445-6569

10 Boulder Crescent St
Ste 204G
Colorado Springs, CO 80903
Phone (719) 291-1667

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1831541226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073565",
            "telephone_number": "719-930-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073565",
            "telephone_number": "719-930-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "KATELYN",
        "credential": "LPC, CAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0007959",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012493",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 7, 2022; 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.