Individual provider Active NPI

Erica Ann Klingberg, LPC

  • Professional Counselor
  • Thornton, CO
National Provider Identifier
1881268928
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012265 Issued in CO
Practice address
8989 Huron St
Thornton, CO 80260-6858
Phone
(303) 853-3588
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0012265 CO Primary

Addresses

Primary practice location

8989 Huron St
Thornton, CO 80260-6858

Mailing address

8989 Huron St
Thornton, CO 80260-6858
Phone (303) 853-3588

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
I20241106000883 CO Practitioner - Mental Health Counselor 7719411396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

603 28
Grand JCT, CO 81506-6019

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0012265COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Community Medical Group, LLC CurrentSince Oct 21, 2024 Accepting new patients
Community Medical Group, LLC CurrentSince Oct 21, 2024 Accepting new patients
Community Medical Group, LLC Professional Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 257-1862

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

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.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1881268928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 HURON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606858",
            "telephone_number": "303-853-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 HURON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606858",
            "telephone_number": "303-853-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGBERG",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.