CAROLYN GAINES LPC LPCC NPI 1154515807

NPI Information

NPI: 1154515807
Provider Name: CAROLYN GAINES, LPC, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
185 SUTTLE ST
DURANGO, CO
ZIP 81303
Phone: (970) 335-2444
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Carolyn Gaines, LPC, LPCC is a mental health counselor in Durango, CO. Carolyn Gaines, LPC, LPCC NPI is 1154515807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

185 SUTTLE ST
DURANGO, CO
ZIP 81303-276
Phone: (970) 335-2444
Fax: (970) 335-2440

The enumeration date for this NPI number is 9/5/2007 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0096351	NEW MEXICO	No
2	101YM0800X	Counselor	Mental Health	0012840	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0096351	OTHER	NEW MEXICO	LICENSURE
2	0012840	OTHER	COLORADO	COLORADO LPC LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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