Individual provider Active NPI

Krista Marie Kedrowski, LPC

  • Professional Counselor
  • Glenwood Springs, CO
National Provider Identifier
1043593387
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011982 Issued in CO
Practice address
2802 Grand Ave
Glenwood Springs, CO 81601-4428
Phone
(970) 945-5258
Fax
(970) 928-8852
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0011982 CO Primary

Addresses

Primary practice location

2802 Grand Ave
Glenwood Springs, CO 81601-4428

Mailing address

715 Horizon Dr Ste 225
Grand Junction, CO 81506-8743

Other identifiers 1

IdentifierTypeStateIssuer
55275001MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • 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
I20240117000306 CO Practitioner - Mental Health Counselor 7416309356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health, Inc. Professional CurrentSince Jan 1, 2024 Accepting new patients
Colorado West Regional Mental Health Inc. Current Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Professional PastSince Jul 31, 2023 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Aug 25, 2024 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past 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

439 Breeze St
Ste 200
Craig, CO 81625
Phone (970) 824-6541

2802 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2583

707 Wapiti Ct
Unit 202B
Rifle, CO 81650
Phone (970) 625-3582

707 Wapiti Ct
Rifle, CO 81650
Phone (970) 945-8683

395 E Lionshead Cir
Vail, CO 81657
Phone (970) 476-0930

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1043593387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR STE 225",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014428",
            "telephone_number": "970-945-5258",
            "fax_number": "970-928-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDROWSKI",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55275001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.