Kelly Elise Ulmer, LPC, CEDS-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0014452 Issued in CO

Practice address

1018 Centre Ave
Fort Collins, CO 80526-1849

Phone

(305) 962-8525

NPI assigned

Feb 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bloom Limited

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1720682230

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1982103180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 CENTRE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 CENTRE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261849",
            "telephone_number": "305-962-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "KELLY",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "LPC, CEDS-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018473",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15714",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy James Uldrich, P.A.
• Lara B. Ulfers, MS, RD, CSSD
• Ryan Levi Ulibarri, DDS
• Mathew David Ullom, D.C.
• Emily Rose Herring Ullrich, MS
• Cathy McAnsh Ulrich
• Ultimate Expression LLC
• Samantha Umland
• Lucie Uncapher, M.D.
• Kjersten Elizabeth Undem

• All providers in Fort Collins, CO
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.