Provider Demographics
NPI:1427719293
Name:NORTHART, PAUL (LPC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:NORTHART
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4705 PROMINENT MESA VW APT 109
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-8672
Mailing Address - Country:US
Mailing Address - Phone:719-881-0118
Mailing Address - Fax:
Practice Address - Street 1:4705 PROMINENT MESA VW APT 109
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924-8672
Practice Address - Country:US
Practice Address - Phone:719-881-0118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health