Catherine Desponett, MA, MFTC, LAC, PRE

Individual provider Active NPI Marriage & Family Therapist · Cotopaxi, CO

NPI 1982410296 · NPPES record last updated Mar 25, 2025

Key facts

NPI
1982410296
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFT.0002794 (CO)
Practice address
1363 32ND TRL
Cotopaxi, CO 81223-7809
Phone
(719) 285-9772
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Self Counseling LLC (5 clinicians)

Practice addresses (Care Compare)

107 S 9TH St
Suite E
Canon City, CO 81212-3817
Phone (719) 221-0959

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250328001389 CO Practitioner - Marriage and Family Therapist 3476076696 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Self Counseling, LLC Addiction (Substance Use Disorder) Current
since Jan 25, 2025
Accepting new patients

Locations

107 S 9th St
Ste E
Canon City, CO 81212
Phone (719) 221-0959

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002417 CO
Marriage & Family Therapist 106H00000X MFT.0002794 CO Yes

Addresses

Primary practice location

1363 32ND TRL
Cotopaxi, CO 81223-7809

Mailing address

1363 32ND TRL
Cotopaxi, CO 81223-7809
Phone (719) 285-9772

Other providers in Cotopaxi, CO

All providers in Cotopaxi, CO · Marriage & Family Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.