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

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.

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 (126 clinicians)

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current
since Jan 1, 2024
Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc Current
since Jan 1, 2024
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)CodeLicenseStatePrimary
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

All providers in Aurora, CO · Professional Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.