Kristin Modin, PHD LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1155 Cherokee St
Denver, CO 80204-3632

Phone

(303) 436-3500

NPI assigned

May 3, 2018

Last updated

Dec 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP
• CO HMO C-SNP

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CO, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1033608203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CHEROKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043632",
            "telephone_number": "303-436-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CHEROKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043632",
            "telephone_number": "303-436-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODIN",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PHD LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMS",
            "identifier": "207365",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Mode, RDCS
• Modern Dental Professionals Co PC (Bright Now Dental Denver/Cherry Creek)
• Modern Dental Professionals Co PC (Bright Now Dental Denver/Downtown)
• Modern Dental Professionals Colorado PC (Bright Now Dental)
• Vincent Anthony Modica II, LCSW
• Modivcare Solutions, LLC
• Samantha Sage Moe Harrington
• Cynthia Moe, CCC-SLP
• Roswitha Moehring, M.D.
• Teresa Jean Moen, MSPT

• Addiction (Substance Use Disorder) Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.