Individual provider Active NPI

Kristen Sandine, LPC, RPT

  • Mental Health Counselor
  • Westminster, CO
National Provider Identifier
1396292678
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015005 Issued in CO
Practice address
8120 Sheridan Blvd Ste 334C
Westminster, CO 80003-6165
Phone
(720) 443-0871
NPI assigned
Sep 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0015005 CO Primary

Addresses

Primary practice location

8120 Sheridan Blvd Ste 334C
Westminster, CO 80003-6165

Mailing address

8120 Sheridan Blvd Ste 334C
Westminster, CO 80003-6165
Phone (720) 443-0871

Other practice location 1

5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535
Phone (720) 443-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 26, 2024 through Apr 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0015005COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Counseling Colorado, PLLC Professional CurrentSince Jan 14, 2024 Accepting new patients

Locations

8120 Sheridan Blvd
Ste 334C
Westminster, CO 80003
Phone (720) 443-0871

Organizations & group practices 1

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": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1396292678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 SHERIDAN BLVD STE 334C",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036165",
            "telephone_number": "720-443-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 SHERIDAN BLVD STE 334C",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036165",
            "telephone_number": "720-443-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5738 Olde Wadsworth Blvd",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800022535",
            "country_code": "US",
            "telephone_number": "720-443-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDINE",
        "first_name": "KRISTEN",
        "credential": "LPC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.