Organization Active NPI

Kairos Wellness Collective, PLLC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1356049118
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KAIROS WELLNESS COLLECTIVE, PLLC
Practice address
2449 Pine St
Boulder, CO 80302-4610
Phone
(720) 310-0570
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Natalia Blanchfield, MA, LPCNPI 1275209082
Title
Owner/Founder/Lead Therapist
Phone
(720) 310-0570

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
Professional Counselor 101YP2500X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

2449 Pine St
Boulder, CO 80302-4610

Mailing address

2449 Pine St
Boulder, CO 80302-4610
Phone (720) 310-0570

Other identifiers 1

IdentifierTypeStateIssuer
LPC.0016740OtherCODORA: LPC LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1356049118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 PINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024610",
            "telephone_number": "720-310-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 PINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024610",
            "telephone_number": "720-310-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS WELLNESS COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "BLANCHFIELD",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER/FOUNDER/LEAD THERAPIST",
        "authorized_official_telephone_number": "720-310-0570",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA: LPC LICENSE",
            "identifier": "LPC.0016740",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.