Individual provider Active NPI

Justina Kropp, PSY.D.

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1013357243
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY0004382 Issued in CO
Practice address
1229 Lake Plaza Dr Ste a
Colorado Springs, CO 80906-7401
Phone
(719) 900-1301
Fax
(719) 735-4952
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY0004382 CO Primary

Addresses

Primary practice location

1229 Lake Plaza Dr Ste a
Colorado Springs, CO 80906-7401

Mailing address

5245 Centennial Blvd Ste 207
Colorado Springs, CO 80919-4405
Phone (719) 347-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000207 CO Practitioner - Clinical Psychologist 9436455599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadmoor Psychological Services LLCGroup PAC ID 2062869266, 2 clinicians

Practice addresses (Care Compare)

1229 Lake Plaza Dr
Suite a
Colorado Springs, CO 80906-7401

830 Tenderfoot Hill Rd
Suite 150
Colorado Springs, CO 80906-7377
Phone (719) 900-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY0004382COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Psychological Services Clinical CurrentSince Jan 27, 2016 Accepting new patients
Broadmoor Psychological Services LLC Clinical CurrentSince May 1, 2024 Accepting new patients
Practice 32 LLC PastSince Apr 6, 2023 Accepting new patients

Locations

1115 Elkton Dr
Ste 102
Colorado Springs, CO 80907
Phone (719) 357-6471

5245 Centennial Blvd
Ste 207
Colorado Springs, CO 80919
Phone (719) 357-6471

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

830 Tenderfoot Hill Rd
Ste 150
Colorado Springs, CO 80906
Phone (719) 550-9292

1229 Lake Plaza Dr
Ste A
Colorado Springs, CO 80906
Phone (719) 313-2578

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1013357243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "719-347-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 LAKE PLAZA DR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067401",
            "telephone_number": "719-900-1301",
            "fax_number": "719-735-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROPP",
        "first_name": "JUSTINA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY0004382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.