Individual provider Active NPI

Kalina Michelle Hajec, LPC

  • Professional Counselor
  • Westminster, CO
National Provider Identifier
1467284844
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0021114 Issued in CO
Practice address
1333 W 120TH Ave Ste 218
Westminster, CO 80234-2710
Phone
(720) 523-1067
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0021114 CO Primary

Addresses

Primary practice location

1333 W 120TH Ave Ste 218
Westminster, CO 80234-2710

Mailing address

13654 Xavier LN Ste 201
Broomfield, CO 80023-3608
Phone (720) 523-1067

Other practice location 1

13654 Xavier Ln
Broomfield, CO 80023-3606
Phone (720) 523-1067

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
I20241112002069 CO Practitioner - Mental Health Counselor 9436683505 Reassigns benefits to 1 organization

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
Neurobloom Counseling and Neurofeedback LLCGroup PAC ID 0345680500, 4 clinicians

Practice addresses (Care Compare)

13654 Xavier LN
Suite 201
Broomfield, CO 80023-3608
Phone (720) 523-1067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobloom Counseling and Neurofeedback, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

13654 Xavier Ln
Ste 201
Broomfield, CO 80023
Phone (720) 523-1067

1333 W 120th Ave
Ste 218
Westminster, CO 80234
Phone (303) 847-7042

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, 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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1467284844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13654 XAVIER LN STE 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233608",
            "telephone_number": "720-523-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 120TH AVE STE 218",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342710",
            "telephone_number": "720-523-1067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13654 Xavier Ln",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800233606",
            "country_code": "US",
            "telephone_number": "720-523-1067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJEC",
        "first_name": "KALINA",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0021114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.