Individual provider Active NPI

Kelly Laird-Gillespie

  • Counseling Psychologist
  • Colorado Springs, CO
National Provider Identifier
1013378637
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LPC.0014348 Issued in CO
Practice address
1802 Chapel Hills Dr Ste C
Colorado Springs, CO 80920-3736
Phone
(719) 695-0131
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NLC.0103641 CO
Counseling Psychologist 103TC1900X LPC.0014348 CO Primary

Addresses

Primary practice location

1802 Chapel Hills Dr Ste C
Colorado Springs, CO 80920-3736

Mailing address

1802 Chapel Hills Dr Ste F
Colorado Springs, CO 80920-3736
Phone (719) 695-0131

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
I20250228001824 CO Practitioner - Mental Health Counselor 8325568702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0014348COMDCounseling Psychologist
NLC.0103641COMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pages of Hope Counseling and Wellness CurrentSince Jan 5, 2025 Accepting new patients
Step Forward Counseling Services Current Accepting new patients
Pages of Hope Counseling and Wellness Past Accepting new patients
Pages of Hope Counseling and Wellness Past Accepting new patients
Step Forward Counseling Services, LLC Past Accepting new patients
Pages of Hope Counseling and Wellness Past Accepting new patients

Locations

1802 Chapel Hills Dr
Ste F
Colorado Springs, CO 80920
Phone (719) 799-8758

2121 S Oneida St
Ste 625
Denver, CO 80224
Phone (719) 920-3126

Organizations & group practices 6

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1013378637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CHAPEL HILLS DR STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203736",
            "telephone_number": "719-695-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CHAPEL HILLS DR STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203736",
            "telephone_number": "719-695-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD-GILLESPIE",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "NLC.0103641",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "LPC.0014348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.