Organization Active NPI

Kenosis Counseling

  • Adult Mental Health Clinic/Center
  • Lafayette, CO
National Provider Identifier
1376219055
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KENOSIS COUNSELING
Practice address
2770 Arapahoe Rd Ste 132-1027
Lafayette, CO 80026-8018
Phone
(303) 717-8094
NPI assigned
Aug 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Authorized official

Name
Melissa RaddatzNPI 1386098010
Title
Owner/Private Practioner
Phone
(303) 717-8094

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2770 Arapahoe Rd Ste 132-1027
Lafayette, CO 80026-8018

Mailing address

2770 Arapahoe Rd Ste 132-1027
Lafayette, CO 80026-8018
Phone (303) 717-8094

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@kenosiscounseling.com Other

National Provider Directory

National Provider Directory

Locations

2770 Arapahoe Rd
Ste 1321027
Lafayette, CO 80026
Phone (303) 717-8094

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": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629504000000",
    "number": "1376219055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 ARAPAHOE RD STE 132-1027",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268018",
            "telephone_number": "303-717-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 ARAPAHOE RD STE 132-1027",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268018",
            "telephone_number": "303-717-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENOSIS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "RADDATZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PRIVATE PRACTIONER",
        "authorized_official_telephone_number": "303-717-8094"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@kenosiscounseling.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Phone",
            "address_1": "2770 Arapahoe Rd Ste 132-1027",
            "city": "Lafayette",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800268018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.