Individual provider Active NPI

McKenna Paulsen, MA, LPCC, LMHCA

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1912556242
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60972963 Issued in WA
Practice address
825 E Speer Blvd
Denver, CO 80218-3719
Phone
(970) 281-7310
NPI assigned
Sep 9, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0016943 CO
Mental Health Counselor 101YM0800X MC60972963 WA Primary

Addresses

Primary practice location

825 E Speer Blvd
Denver, CO 80218-3719

Mailing address

825 E Speer Blvd
Denver, CO 80218-3719
Phone (970) 281-7310

Other practice location 1

4500 S Monaco St Apt 1428
Denver, CO 80237-3426
Phone (509) 818-4083

Other practice location 2

13106 SE 26th St
Vancouver, WA 98683-5415
Phone (509) 818-4083 ext. 50981

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPCC.0016943COMDMental Health Counselor
MC60972963WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1912556242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E SPEER BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183719",
            "telephone_number": "970-281-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E SPEER BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183719",
            "telephone_number": "970-281-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 S Monaco St Apt 1428",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802373426",
            "country_code": "US",
            "telephone_number": "509-818-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13106 SE 26th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986835415",
            "country_code": "US",
            "telephone_number": "509-818-4083 x50981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "MCKENNA",
        "credential": "MA, LPCC, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0016943",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60972963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.