Kristin Lavelle

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0011581 Issued in CO

Legal business name

KRISTIN LAVELLE

Practice address

80 Garden Ctr Ste 128
Broomfield, CO 80020-2622

Phone

(303) 554-0357

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Kristin Lavelle, LPC

Title

Therapist

Phone

(303) 554-0357

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1548769805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800264023",
            "telephone_number": "303-514-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 128",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202622",
            "telephone_number": "303-554-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN LAVELLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "303-554-0357",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "0011581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336456573",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Kosanovich, MS, CCC-SLP
• Adam Kosofsky, OTR/L
• Tricia Lynn Kostner-Nicholson, M.S. CCC-SLP
• Sarah Kraft
• Marsha L Kravetz, LMFT, LPC
• Rachel Kronig, NP
• Krueger Emh Inc. (Ellie Mental Health)
• Cameron Frothingham Kruis, MA CCC SLP
• Hannah Kudelka
• James Kulovany, CNIM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.