Individual provider Active NPI

Lauren Kay Hostetler-Dulik, MA, LPCC

  • Mental Health Counselor
  • Centennial, CO
National Provider Identifier
1306442835
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0016529 Issued in CO
Practice address
7853 E Arapahoe CT Ste 3550
Centennial, CO 80112-6827
Phone
(303) 349-4885
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0016529 CO Primary

Addresses

Primary practice location

7853 E Arapahoe CT Ste 3550
Centennial, CO 80112-6827

Mailing address

7853 E Arapahoe CT Ste 3550
Centennial, CO 80112-6827
Phone (303) 349-4885

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@lifesupportinstitute.com Direct

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
I20240716002455 CO Practitioner - Mental Health Counselor 0446795256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1355 S Colorado Blvd
Suite 810
Denver, CO 80222-3351
Phone (303) 578-2682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPCC.0016529COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Randall, LLC Professional CurrentSince Jun 6, 2024 Accepting new patients
Life Support Behavioral Institute PastSince Dec 13, 2020 Accepting new patients

Locations

1355 S Colorado Blvd
Ste 810
Denver, CO 80222
Phone (303) 578-2682

1355 S Colorado Blvd
Ste C810
Denver, CO 80222
Phone (303) 578-2682

Organizations & group practices 2

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1306442835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7853 E ARAPAHOE CT STE 3550",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126827",
            "telephone_number": "303-349-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7853 E ARAPAHOE CT STE 3550",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126827",
            "telephone_number": "303-349-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETLER-DULIK",
        "first_name": "LAUREN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0016529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@lifesupportinstitute.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7853 E Arapahoe Ct Ste 3550",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801126827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.