Active NPI
Kristel Michele Phelps, MA, LPC, ATR
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1053047449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0018720
- Practice address
- 1179 Monroe Dr Apt B
Boulder, CO 80303-2124 - Phone
- (719) 502-0329
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | ATR.20-436 | CO | |
| Mental Health Counselor | 101YM0800X | LPC.0018720 | CO | Primary |
Addresses
Primary practice location
1179 Monroe Dr Apt B
Boulder, CO 80303-2124
Mailing address
1650 38TH St Ste 100E
Boulder, CO 80301-2624
Phone (720) 644-9133
Other practice location 1
1650 38th St Ste 100E
Boulder, CO 80301-2624
Phone (720) 644-9133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0018720 | CO | MD | Mental Health Counselor |
| ATR.20-436 | CO | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1053047449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 38TH ST STE 100E",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012624",
"telephone_number": "720-644-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 MONROE DR APT B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032124",
"telephone_number": "719-502-0329"
}
],
"practiceLocations": [
{
"address_1": "1650 38th St Ste 100E",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803012624",
"country_code": "US",
"telephone_number": "720-644-9133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHELPS",
"first_name": "KRISTEL",
"middle_name": "MICHELE",
"credential": "MA, LPC, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "CO",
"license": "ATR.20-436",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0018720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.