Individual provider Active NPI

Allahna Kaj, MSW, LICSW, LCSW

  • Mental Health Counselor
  • Pueblo, CO
National Provider Identifier
1013052026
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW.09929000 Issued in CO
Practice address
2211 Aztec Dr Apt a
Pueblo, CO 81008-1788
Phone
(413) 262-8716
NPI assigned
Feb 20, 2007
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW.09929000 CO Primary

Addresses

Primary practice location

2211 Aztec Dr Apt a
Pueblo, CO 81008-1788

Mailing address

2211 Aztec Dr Apt a
Pueblo, CO 81008-1788
Phone (413) 262-8716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC TX LLC Clinical CurrentSince Sep 5, 2018 Accepting new patients
Newton-Wellesley Eating Disorders & Behavioral Medicine PastSince Feb 16, 2010 Accepting new patients
Newton-Wellesley Behavioral Medicine & Eating Disorders Past Accepting new patients
Sayftee Past Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1013052026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 AZTEC DR APT A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081788",
            "telephone_number": "413-262-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 AZTEC DR APT A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081788",
            "telephone_number": "413-262-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJ",
        "first_name": "ALLAHNA",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW.09929000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.