Individual provider Active NPI

Kerry Schabacker, CSW

  • Mental Health Counselor
  • Littleton, CO
National Provider Identifier
1972213023
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW.09930529 Issued in CO
Practice address
10488 W Centennial Rd Ste 517
Littleton, CO 80127-6356
Phone
(970) 680-1560
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 CSW.09930529 CO Primary

Addresses

Primary practice location

10488 W Centennial Rd Ste 517
Littleton, CO 80127-6356

Mailing address

10488 W Centennial Rd Ste 517
Littleton, CO 80127-6356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 9, 2026 through Apr 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09930529COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1972213023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10488 W CENTENNIAL RD STE 517",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10488 W CENTENNIAL RD STE 517",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276356",
            "telephone_number": "970-680-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABACKER",
        "first_name": "KERRY",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW.09930529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.