| Carol Starr Carpenter Counseling, Inc | |
|
2021 W Colorado Ave Colorado Springs CO 80904-3840 | |
| (719) 464-4764 | |
| (719) 638-8115 |
| Full Name | Carol Starr Carpenter Counseling, Inc |
|---|---|
| Speciality | Counselor |
| Location | 2021 W Colorado Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Carol Carpenter (OWNER) |
| Authorized Official Contact | 7194644764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Starr Carpenter Counseling, Inc 2021 W Colorado Ave Colorado Springs CO 80904-3840 Ph: (719) 464-4764 | Carol Starr Carpenter Counseling, Inc 2021 W Colorado Ave Colorado Springs CO 80904-3840 Ph: (719) 464-4764 |
| NPI Number | 1275050528 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6204276033 |
|---|---|
| Medicare Enrollment ID | O20240426002627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275050528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0005234 (Colorado) | Primary |
| Provider Name | Carol Starr Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548492556 PECOS PAC ID: 8325488448 Enrollment ID: I20240506003840 |
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