Individual provider Active NPI

Taylor Kudrycki, LPC, NCC

  • Mental Health Counselor
  • Wheat Ridge, CO
National Provider Identifier
1063096634
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0017122 Issued in CO
Practice address
4251 Kipling St Unit 430
Wheat Ridge, CO 80033-2970
Phone
(720) 504-5169
NPI assigned
May 10, 2021
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 0017122 CO Primary

Addresses

Primary practice location

4251 Kipling St Unit 430
Wheat Ridge, CO 80033-2970

Mailing address

1636 S Vrain St
Denver, CO 80219-4439
Phone (765) 730-3523

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address taylor@experiencechange.net Adria Rigg, LLC
Direct Messaging Address taylor@experiencechange.net Adria Rigg, LLC
Direct Messaging Address taylor@experiencechange.net Adria Rigg, LLC
Direct Messaging Address taylor@experiencechange.net Adria Rigg, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0017122COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1063096634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 S VRAIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194439",
            "telephone_number": "765-730-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 430",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332970",
            "telephone_number": "720-504-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDRYCKI",
        "first_name": "TAYLOR",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@experiencechange.net",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Adria Rigg, LLC",
            "address_1": "4251 Kipling St",
            "address_2": "Suite 430",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800332896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@experiencechange.net",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Adria Rigg, LLC",
            "address_1": "4251 Kipling St",
            "address_2": "Suite 430",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800332896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@experiencechange.net",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Adria Rigg, LLC",
            "address_1": "4251 Kipling St",
            "address_2": "Suite 430",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800332896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@experiencechange.net",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Adria Rigg, LLC",
            "address_1": "4251 Kipling St",
            "address_2": "Suite 430",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800332896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.