Kathleen Malone, LPC
Counselor, Professional in Boulder, CO. Individual provider (NPI-1).
NPI number1982108858
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1982108858
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Malone
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2018
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC0015399 | CO | Yes |
| 101YP2500X | Counselor, Professional | 15578 | CO |
Practice location
2955 Valmont Rd Ste 210Boulder, CO 80301-1360
Phone 303-250-5359 · Fax 720-909-6373
Mailing address
1789 Yellow Pine AveBoulder, CO 80304-4367
Phone 303-250-5359 · Fax 720-909-6373
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