Kevin Richard Bogstad, MA LPC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LPC.0014136 Issued in CO

Practice address

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597

Phone

(951) 837-3722

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Peak Therapeutic Inc

  • Counseling Psychologist
  • Colorado Springs, CO
  • NPI 1053896415
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1124193180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "951-837-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "951-837-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGSTAD",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "LPC.0014136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Boese
• Emma Boese, STUDENT
• Cynthia A Boffa-Schmidt, LCSW
• Matthew Bogans
• Nicole Hannah Boggan, MA, LPC
• Sarah Bogush, LMT
• Danielle Bogyah
• Christy Bohannon, MA, LPC
• Kathleen Sue Bohanon, MD
• Jennifer Ann Bohle, MS, LPC

• Counseling Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.