Active NPI
Kristen Thayn
- Counseling Psychologist
- Rangely, CO
National Provider Identifier
1134479900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0014546
- Practice address
- 231 Dakota Ave
Rangely, CO 81648-2803 - Phone
- (435) 419-0133
- Fax
- (970) 548-4001
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0014546 | CO | Primary |
Addresses
Primary practice location
231 Dakota Ave
Rangely, CO 81648-2803
Mailing address
231 Dakota Ave
Rangely, CO 81648-2803
Phone (435) 419-0133
Other names 1
- Kristen Bradford
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014546 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1134479900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 DAKOTA AVE",
"city": "RANGELY",
"state": "CO",
"postal_code": "816482803",
"telephone_number": "435-419-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 DAKOTA AVE",
"city": "RANGELY",
"state": "CO",
"postal_code": "816482803",
"telephone_number": "435-419-0133",
"fax_number": "970-548-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYN",
"first_name": "KRISTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "0014546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BRADFORD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rangely, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.