Organization Active NPI

Croswaite Counseling, PLLC

  • Professional Counselor
  • Lafayette, CO
National Provider Identifier
1023781119
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CROSWAITE COUNSELING, PLLC
Practice address
1120 W South Boulder Rd Ste 101J
Lafayette, CO 80026-8952
Phone
(720) 245-7390
NPI assigned
Jul 26, 2021
Organization subpart
Yes
Parent organization
CROSWAITE COUNSELING, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Khara Kay Croswaite Brindle, MA, LPC, ACSNPI 1750661799
Title
Owner
Phone
(720) 245-7390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1120 W South Boulder Rd Ste 101J
Lafayette, CO 80026-8952

Mailing address

7700 E Academy Blvd Unit 305
Denver, CO 80230-7169
Phone (720) 245-7390

Other identifiers 1

IdentifierTypeStateIssuer
13305034MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com

National Provider Directory

National Provider Directory
Part of
Croswaite Counseling PLLC

Locations

1120 W South Boulder Rd
Ste 101J
Lafayette, CO 80026
Phone (720) 245-7390

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1023781119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 E ACADEMY BLVD UNIT 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307169",
            "telephone_number": "720-245-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W SOUTH BOULDER RD STE 101J",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268952",
            "telephone_number": "720-245-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSWAITE COUNSELING, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSWAITE COUNSELING, PLLC",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "CROSWAITE BRINDLE",
        "authorized_official_first_name": "KHARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-245-7390",
        "authorized_official_credential": "MA, LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13305034",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "address_1": "1120 W South Boulder Rd Ste 101J",
            "city": "Lafayette",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800268952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.