Healthcare Provider Details

I. General information

NPI: 1104044304
Provider Name (Legal Business Name): KAY J MCCARTHY RNC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 E PIKES PEAK AVE BEHAVIORAL HEALTH DEPT
COLORADO SPRINGS CO
80903-3635
US

IV. Provider business mailing address

825 E PIKES PEAK AVE BEHAVIORAL HEALTH DEPT
COLORADO SPRINGS CO
80903-3635
US

V. Phone/Fax

Practice location:
  • Phone: 719-776-8481
  • Fax: 719-776-8568
Mailing address:
  • Phone: 719-776-8481
  • Fax: 719-776-8568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0425
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number78264
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: