Krystoffer Loren Bowman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0015508 Issued in CO

Practice address

915 Pinon Ranch VW
Colorado Springs, CO 80907-3578

Phone

(719) 357-7889

Fax

(719) 213-2484

NPI assigned

Dec 21, 2017

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Krystoffer Loren Gaeta Former name

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2017

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klbowman@onbelaycouonseling.org

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional

  Medicare reassignment Care Compare group NPD
• On Belay Counseling

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1275122756
  NPD Authorized official

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1386150738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PINON RANCH VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073578",
            "telephone_number": "719-357-7889",
            "fax_number": "719-213-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PINON RANCH VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073578",
            "telephone_number": "719-357-7889",
            "fax_number": "719-213-2484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3902 Somerset St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809074847",
            "country_code": "US",
            "telephone_number": "785-375-2054",
            "fax_number": "719-531-0810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KRYSTOFFER",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0015508",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-4491444",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KLBowman@OnbelayCouonseling.org",
            "affiliation": "N",
            "endpointDescription": "HIPAA Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 Pinon Ranch Vw",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809073578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTOFFER",
            "last_name": "GAETA",
            "middle_name": "LOREN",
            "prefix": "DR.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McKenzie Bowling
• Elizabeth A Bowman, MA
• J Russell Bowman, DO, MS, MHA
• Kaylah Joy Bowman, LCSW
• Kristen Bowman, MA
• Latosha N Bowman
• Morgan Bowser
• Thomas E Bowser, M.D.
• Maile A Box, PT
• Morgan Boxer

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.