Individual provider Active NPI

Kenneth F Valentine, MBA, MA, LPCC, NCC

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1891400719
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0019604 Issued in CO
Practice address
743 Horizon CT Ste 220
Grand Junction, CO 81506-8716
Phone
(844) 787-8721
NPI assigned
Jan 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 LPCC.0019604 CO Primary

Addresses

Primary practice location

743 Horizon CT Ste 220
Grand Junction, CO 81506-8716

Mailing address

1109 Aspen Village Loop
Fruita, CO 81521-8917
Phone (303) 885-7028

Other practice location 1

2139 N 12th St Ste 6
Grand Junction, CO 81501-2910
Phone (970) 283-7153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
LPCC.0019604COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Butters, NP, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

2139 N 12th St
Ste 6
Grand Junction, CO 81501
Phone (970) 236-7368

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1891400719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 ASPEN VILLAGE LOOP",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815218917",
            "telephone_number": "303-885-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 220",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068716",
            "telephone_number": "844-787-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 N 12th St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012910",
            "country_code": "US",
            "telephone_number": "970-283-7153",
            "fax_number": "970-236-7368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "KENNETH",
        "middle_name": "F",
        "credential": "MBA, MA, LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0019604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.