Individual provider Active NPI

Kristen Michelle Goltz, MS, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1104698919
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0002966 Issued in CO
Practice address
3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680
Phone
(970) 370-9975
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0002966 CO Primary
Marriage & Family Therapist 106H00000X MFTC.0014486 CO

Addresses

Primary practice location

3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680

Mailing address

1401 S County Road 3 E
Johnstown, CO 80534-8727
Phone (970) 566-2141

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFT.0002966COMDMarriage & Family Therapist
MFTC.0014486COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1104698919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S COUNTY ROAD 3 E",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805348727",
            "telephone_number": "970-566-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 STANFORD RD STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254680",
            "telephone_number": "970-370-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLTZ",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002966",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0014486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.