Jeremy Kalan, LPCC, CPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC14489 Issued in CO

Practice address

4673 Tally Ho CT
Boulder, CO 80301-3864

Phone

(720) 420-9094

NPI assigned

Aug 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Healing & Transformation, LLC

  • Mental Health Counselor
  • Kailua, HI
  • NPI 1124666276
  NPD Authorized official

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1881119261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4673 TALLY HO CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4673 TALLY HO CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013864",
            "telephone_number": "720-420-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAN",
        "first_name": "JEREMY",
        "credential": "LPCC, CPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC14489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Baseline Medical Offices Laboratory)
• Kaiser Permanente Colorado (Boulder Medical Office)
• Laura K Kaiser, PA-C
• Kaklauskas Olson Group, LLC
• Ai Kakuta
• Kelly Kale, RBT
• Lisa Kalfas, DDS
• Kallgren Dermatology
• Kallgren Dermatology Clinic, P.C.
• Diane Lucy Kallgren, M.D.

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.