Individual provider Active NPI

Carol Prue, MA, LPC

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1871620948
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3784 Issued in CO
Practice address
355 S Teller St Ste 200
Lakewood, CO 80226-7391
Phone
(303) 816-3325
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3784 CO Primary

Addresses

Primary practice location

355 S Teller St Ste 200
Lakewood, CO 80226-7391

Mailing address

355 S Teller St Ste 200
Lakewood, CO 80226-7391

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
3784COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Awakening Therapy, LLC Mental Health Current Accepting new patients

Locations

355 S Teller St
Ste 200
Lakewood, CO 80226
Phone (303) 547-0743

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1871620948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S TELLER ST STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S TELLER ST STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267391",
            "telephone_number": "303-816-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUE",
        "first_name": "CAROL",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "3784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.