Individual provider Active NPI

Lynn Harnack, LPC

  • Professional Counselor
  • Erie, CO
National Provider Identifier
1902354525
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012946 Issued in CO
Practice address
698 Briggs Street
Suite 4
Erie, CO 80516
Phone
(303) 828-6509
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 LPC.0012946 CO Primary

Addresses

Primary practice location

698 Briggs Street
Suite 4
Erie, CO 80516

Mailing address

16517 Lafayette St
Thornton, CO 80602-7669
Phone (303) 828-6509

Other names 1

  • Lynn Matuzek Former 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
I20231229000013 CO Practitioner - Mental Health Counselor 0446600753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

698 Briggs St
Suite 4
Erie, CO 80516-5022
Phone (303) 828-6509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0012946COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Harnack Counseling LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

400 E Simpson St
Ste 108
Lafayette, CO 80026
Phone (303) 828-6509

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1902354525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16517 LAFAYETTE ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027669",
            "telephone_number": "303-828-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 BRIGGS STREET",
            "address_2": "SUITE 4",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "303-828-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNACK",
        "first_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-06-14",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "MATUZEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.