Courageous Counseling Colorado, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COURAGEOUS COUNSELING COLORADO, PLLC

Practice address

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

Phone

(720) 503-5906

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen SandineNPI 1396292678

Title

Owner

Phone

(720) 503-5906

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Sandine, LPC, RPT

  • Mental Health Counselor
  • Westminster, CO
  • NPI 1396292678

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1528609674",
    "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": "720-503-5906"
        },
        {
            "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": "720-503-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS COUNSELING COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "SANDINE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-503-5906"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000171890",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ccco.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8120 Sheridan Blvd Ste 334C",
            "city": "Westminster",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800036165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Westminster, CO
• Providers in Westminster, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.