Individual provider Active NPI

Barbara Kate McKeown, LCSW

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1871649756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
989942 Issued in CO
Practice address
4293 Peach Way
Boulder, CO 80301-1736
Phone
(303) 449-3931
Fax
(303) 449-3931
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 989942 CO Primary

Addresses

Primary practice location

4293 Peach Way
Boulder, CO 80301-1736

Mailing address

4293 Peach Way
Boulder, CO 80301-1736
Phone (303) 449-3931

Other identifiers 1

IdentifierTypeStateIssuer
017152OtherCOVALUE OPTIONS PROVIDER

Other names 1

  • Kate McKeown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000134 CO Practitioner - Clinical Social Worker 2365628047 Practice locations: Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4293 Peach Way
Boulder, CO 80301-1736
Phone (303) 790-5937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989942COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871649756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 PEACH WAY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011736",
            "telephone_number": "303-449-3931",
            "fax_number": "303-449-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4293 PEACH WAY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011736",
            "telephone_number": "303-449-3931",
            "fax_number": "303-449-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "BARBARA",
        "middle_name": "KATE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "989942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER",
            "identifier": "017152",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MCKEOWN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.