Individual provider Active NPI

Cory Renay Friendshuh Kelly, LPC

  • Professional Counselor
  • Salida, CO
National Provider Identifier
1376326249
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020776 Issued in CO
Practice address
641 W 3Rd St
Salida, CO 81201-1599
Phone
(719) 850-8569
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0020776 CO Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

641 W 3Rd St
Salida, CO 81201-1599

Mailing address

618 H St # B
Salida, CO 81201-2436

Other practice location 1

618 H St # B
Salida, CO 81201-2436
Phone (719) 626-1420

Other names 1

  • Renay Friendshuh Professional name

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
I20250228000765 CO Practitioner - Mental Health Counselor 5799205142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Feb 26, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Sep 15, 2025 Accepting new patients

Locations

1560 Broadway
Denver, CO 80202
Phone (623) 363-6103

1560 Broadway
Ste 1600
Denver, CO 80202
Phone (480) 493-0900

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

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1376326249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 H ST # B",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 3RD ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812011599",
            "telephone_number": "719-850-8569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 H St # B",
            "address_purpose": "LOCATION",
            "city": "Salida",
            "state": "CO",
            "postal_code": "812012436",
            "country_code": "US",
            "telephone_number": "719-626-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CORY",
        "middle_name": "RENAY FRIENDSHUH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020776",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAY",
            "last_name": "FRIENDSHUH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.