Individual provider Active NPI

Carrie Cerreta-Kessie

  • Professional Counselor
  • Lakewood, CO
National Provider Identifier
1386142230
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3013 Issued in CO
Practice address
1360 S Wadsworth Blvd Ste 209
Lakewood, CO 80232-5414
Phone
(303) 503-5225
NPI assigned
Jan 25, 2018
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 3013 CO Primary

Addresses

Primary practice location

1360 S Wadsworth Blvd Ste 209
Lakewood, CO 80232-5414

Mailing address

1360 S Wadsworth Blvd Ste 209
Lakewood, CO 80232-5414
Phone (303) 503-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3013COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Services, Corp CurrentSince Oct 2, 2022 Accepting new patients
Crossroads Counseling Services, Corp CurrentSince Jan 17, 2022 Accepting new patients

Locations

1360 S Wadsworth Blvd
Ste 209
Lakewood, CO 80232
Phone (303) 503-5225

6655 W Jewell Ave
Ste 102
Lakewood, CO 80232
Phone (720) 297-5738

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1386142230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S WADSWORTH BLVD STE 209",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325414",
            "telephone_number": "303-503-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S WADSWORTH BLVD STE 209",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325414",
            "telephone_number": "303-503-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRETA-KESSIE",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.