Active NPI
Kayla Elizabeth Poulson, MA, LPC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1003267121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0016834
- Practice address
- 120 Bristlecone Dr
Fort Collins, CO 80524-2031 - Phone
- (970) 530-2887
- NPI assigned
- Jun 30, 2016
- Last updated
- Oct 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0016834 | CO | Primary |
Addresses
Primary practice location
120 Bristlecone Dr
Fort Collins, CO 80524-2031
Mailing address
3801 Partridge CT
Evans, CO 80620-9504
Phone (720) 466-3782
Other practice location 1
3801 Partridge Ct
Evans, CO 80620-9504
Phone (720) 466-3782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016834 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793059200000",
"number": "1003267121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 PARTRIDGE CT",
"city": "EVANS",
"state": "CO",
"postal_code": "806209504",
"telephone_number": "720-466-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BRISTLECONE DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242031",
"telephone_number": "970-530-2887"
}
],
"practiceLocations": [
{
"address_1": "3801 Partridge Ct",
"address_purpose": "LOCATION",
"city": "Evans",
"state": "CO",
"postal_code": "806209504",
"country_code": "US",
"telephone_number": "720-466-3782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POULSON",
"first_name": "KAYLA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0016834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.