Kristin Nicole Mazzarese, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0012257 Issued in CO

Practice address

30772 Southview Dr
Suite 120
Evergreen, CO 80439-2213

Phone

(303) 670-3931

NPI assigned

Feb 6, 2012

Last updated

Jan 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1407128473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 BOX ELDER",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397841",
            "telephone_number": "443-204-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR",
            "address_2": "SUITE 120",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392213",
            "telephone_number": "303-670-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARESE",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC0012257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Mathos, IBCLC
• Matthew a Bunchman, DMD, Prof LLC (Premier Dental of Evergreen)
• James Mault, M.D.
• John Ruff May, PT, DPT
• Kathleen Morrin May, NP
• Kathie Elizabeth McAlpine, M.D., MPH, MS
• Debra L. McBride, M.S., CCC-SLP
• McCabe Medical PLLC
• Patricia A. McCord, PT, FAAOMPT
• Neil McCutcheon

• Mental Health Counselor in Evergreen, CO
• Providers in Evergreen, 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 Jan 14, 2017; 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.