Active NPI
Kendall Grzyboski, LPC
- Professional Counselor
- Englewood, CO
National Provider Identifier
1104429463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015969
- Practice address
- 155 Inverness Dr W
Englewood, CO 80112-5000 - Phone
- (303) 730-8858
- NPI assigned
- Nov 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0015969 | CO | Primary |
Addresses
Primary practice location
155 Inverness Dr W
Englewood, CO 80112-5000
Mailing address
253 N Grant St Apt 102
Denver, CO 80203-4092
Phone (518) 744-6664
Other practice location 1
1850 E Egbert St Ste 200
Brighton, CO 80601-2484
Phone (303) 853-3500
Other practice location 2
8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500
Other practice location 3
253 N Grant St Apt 102
Denver, CO 80203-4092
Phone (518) 744-6664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14999562 | Other | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0015969 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1104429463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 N GRANT ST APT 102",
"city": "DENVER",
"state": "CO",
"postal_code": "802034092",
"telephone_number": "518-744-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 INVERNESS DR W",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125000",
"telephone_number": "303-730-8858"
}
],
"practiceLocations": [
{
"address_1": "1850 E Egbert St Ste 200",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "CO",
"postal_code": "806012484",
"country_code": "US",
"telephone_number": "303-853-3500",
"fax_number": "303-853-3702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8931 Huron St",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802606806",
"country_code": "US",
"telephone_number": "303-853-3500",
"fax_number": "303-853-3702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "253 N Grant St Apt 102",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802034092",
"country_code": "US",
"telephone_number": "518-744-6664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRZYBOSKI",
"first_name": "KENDALL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14999562",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.