Individual provider Active NPI

Joel Edward Coram, LPC

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1891259693
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0016918 Issued in CO
Practice address
208 Racquette Dr
Fort Collins, CO 80524-4851
Phone
(970) 806-3128
NPI assigned
Jan 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0016918 CO
Mental Health Counselor 101YM0800X LPC.0016918 CO Primary

Addresses

Primary practice location

208 Racquette Dr
Fort Collins, CO 80524-4851

Mailing address

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 806-3128

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
I20240930004024 CO Practitioner - Mental Health Counselor 9032640131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health CurrentSince Aug 18, 2024 Accepting new patients
Heart Centered Counseling, PC Mental Health Current Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Aug 18, 2024 Accepting new patients

Locations

208 Racquette Dr
Fort Collins, CO 80524
Phone (970) 222-5128

215 W Oak St
Ste 400
Fort Collins, CO 80521
Phone (919) 717-1479

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 3

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1891259693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 RACQUETTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244851",
            "telephone_number": "970-806-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 RACQUETTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244851",
            "telephone_number": "970-806-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORAM",
        "first_name": "JOEL",
        "middle_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016918",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.