Kerry Ellen Humphrey, MA, LPC
Individual provider Active NPI Professional Counselor · Aurora, CO
NPI 1831548080 · NPPES record last updated Jun 8, 2016
Key facts
- NPI
- 1831548080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0012621 (CO)
- Practice address
- 11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622 - Phone
- (303) 617-2300
- Fax
- (303) 617-2365
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arapahoe Mental Health Center Inc
Practice addresses (Care Compare)
5554 S Prince St
Littleton, CO 80120-1126
Phone (303) 730-8858
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231221004170 | CO | Practitioner - Mental Health Counselor | 2163872755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arapahoe Mental Health Center, Inc | Current |
Accepting new patients | |
| Arapahoe Mental Health Center, Inc | Current | Accepting new patients | |
| Arapahoe Mental Health Center, Inc | Current |
Accepting new patients |
Locations
116 Inverness Dr E
Ste 105
Englewood, CO 80112
5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797
6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303
5554 S Prince St
Littleton, CO 80120
Phone (720) 427-5707
10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0012621 | CO | Yes |
Addresses
Primary practice location
11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Mailing address
11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Phone (303) 617-2424
Other providers in Aurora, CO
- Elizabeth Humes
- Lisa Elizabeth Humiston
- Anna Hummel
- Brendan Hummel
- Lindsay Humpert
- Megan L Humphrey
- Neveah Humphrey
- Steven Humphrey
- Maeve Jane Humphreys
- Johnai Angelai Humphries
All providers in Aurora, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.