Individual provider Active NPI

Madison Kohls

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1033627831
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0020502 Issued in CO
Practice address
1150 N 25TH St Ste B
Grand Junction, CO 81501-6561
Phone
(970) 235-4066
NPI assigned
Jan 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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 LPCC.0020502 CO Primary

Addresses

Primary practice location

1150 N 25TH St Ste B
Grand Junction, CO 81501-6561

Mailing address

1150 N 25TH St Ste B
Grand Junction, CO 81501-6561
Phone (970) 235-4066

Other practice location 1

1114 Grand Ave
Grand Junction, CO 81501-3430
Phone (970) 314-4698

Other practice location 2

1005 N 12th St Ste 206
Grand Junction, CO 81501-3157
Phone (720) 319-7879

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
I20250616002092 CO Practitioner - Mental Health Counselor 2567973613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0020502COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amos Counseling LLC Mental Health CurrentSince Jun 11, 2023 Accepting new patients
Creative Directions Counseling & Consulting, LLC Mental Health CurrentSince Apr 15, 2025 Accepting new patients
Sageland Mental Health CurrentSince Sep 21, 2025 Accepting new patients
Colorado West Regional Mental Health, Inc. Professional Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

1005 N 12th St
Ste 206
Grand Junction, CO 81501
Phone (720) 319-7879

1150 N 25th St
Ste B
Grand Junction, CO 81501
Phone (970) 235-4066

Organizations & group practices 5

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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1033627831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 25TH ST STE B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016561",
            "telephone_number": "970-235-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 25TH ST STE B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016561",
            "telephone_number": "970-235-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815013430",
            "country_code": "US",
            "telephone_number": "970-314-4698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 N 12th St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815013157",
            "country_code": "US",
            "telephone_number": "720-319-7879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLS",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0020502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.