Organization Active NPI

Resolution Peak Counseling

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1285497545
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESOLUTION PEAK COUNSELING
Practice address
1079 S Hover St Ste 200
Longmont, CO 80501-7924
Phone
(720) 819-6133
Fax
(720) 204-7266
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Robin Kleisler, LPC, LAC, MAC, ACSNPI 1477709954
Title
Owner, Clinical Director
Phone
(720) 534-1875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1079 S Hover St Ste 200
Longmont, CO 80501-7924

Mailing address

4245 Florentine Dr
Longmont, CO 80503-6485
Phone (720) 534-1875

Other identifiers 1

IdentifierTypeStateIssuer
1477709954OtherINDIVIDUAL NPI

Other names 1

  • Resolution Peak Counseling, PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219003301 CO Part B Supplier - Clinic/Group Practice 6709220684 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1079 S Hover St
Ste 200
Longmont, CO 80501
Phone (303) 827-2485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1285497545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 FLORENTINE DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036485",
            "telephone_number": "720-534-1875",
            "fax_number": "720-204-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 S HOVER ST STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017924",
            "telephone_number": "720-819-6133",
            "fax_number": "720-204-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION PEAK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "KLEISLER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-534-1875",
        "authorized_official_credential": "LPC, LAC, MAC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477709954",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resolution Peak Counseling, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.