Individual provider Active NPI

Kayla Jenn Kerekes, LCSW

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1255789517
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925919 Issued in CO
Practice address
2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475
Phone
(720) 767-1863
Fax
(720) 405-4257
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09925919 CO Primary
Mental Health Counselor 101YM0800X LSW.0009920697 CO

Addresses

Primary practice location

2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475

Mailing address

2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475
Phone (720) 767-1863

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210208002335 CO Practitioner - Clinical Social Worker 1557604568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009920697COMDMental Health Counselor
CSW.09925919COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 3, 2021 Accepting new patients
Whipple Counseling LLC Clinical Current Accepting new patients
Blossoming Minds LLC Clinical Current Accepting new patients

Locations

2101 S Blackhawk St
Ste 240
Denver, CO 80014
Phone (520) 348-3179

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1255789517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "720-767-1863",
            "fax_number": "720-405-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "720-767-1863",
            "fax_number": "720-405-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEREKES",
        "first_name": "KAYLA",
        "middle_name": "JENN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925919",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LSW.0009920697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.