MEDICARE: SARAH KIMBERLY MCCORMICK LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC.0023372	CO

General Provider Information

NPI Number	:	1194678680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KIMBERLY MCCORMICK LPC

Provider Business Mailing Address
First Line	:	2730 TRENTON WAY
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-2269
Country	:	US
Telephone Number	:	970-412-7533
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	2001 S SHIELDS ST STE 203
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1827
Country	:	US
Telephone Number	:	970-236-6371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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