Kelsey Piller, LAC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0017275 Issued in CO

Practice address

3440 Myers Gulch Road
Suite 4
Kittredge, CO 80457-1041

Phone

(719) 500-4460

Fax

(719) 403-0203

NPI assigned

Dec 23, 2020

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Mental Health PLLC

  • Professional Counselor
  • Kittredge, CO
  • NPI 1679286025

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1124615125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16811",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809356811",
            "telephone_number": "719-500-4460",
            "fax_number": "719-403-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 MYERS GULCH ROAD",
            "address_2": "SUITE 4",
            "city": "KITTREDGE",
            "state": "CO",
            "postal_code": "804571041",
            "telephone_number": "719-500-4460",
            "fax_number": "719-403-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLER",
        "first_name": "KELSEY",
        "credential": "LAC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001576",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0016783",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kimjin Collardey, PHD, LCSW
• Ryan Fielding Dailey, M.S., CCC-SLP
• Sam Harwood
• Samantha Lauryn Jasinski
• Optimal Mental Health PLLC
• Sharon Ann Sales, CMT
• Lauren Stowall, FNP-C
• Sunrise Behavioral Consultants, LLC

• Professional Counselor in Kittredge, CO
• Providers in Kittredge, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.