Individual provider Active NPI

Kristin L Malone

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1578079125
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0015628 Issued in CO
Practice address
101 Falcon Pkwy
Colorado Springs, CO 80912-5099
Phone
(716) 567-3920
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0015429 CO
Mental Health Counselor 101YM0800X 0015628 CO Primary

Addresses

Primary practice location

101 Falcon Pkwy
Colorado Springs, CO 80912-5099

Mailing address

4781 Sand Mountain PT
Colorado Springs, CO 80923-8834
Phone (970) 216-0108

Other practice location 1

443 Highway 105
Palmer Lake, CO 80133-9003
Phone (719) 855-1800 ext. 5038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0015429COMDMental Health Counselor
0015628COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Integrative Counseling LLC Mental Health Current Accepting new patients

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1578079125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 SAND MOUNTAIN PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238834",
            "telephone_number": "970-216-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FALCON PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809125099",
            "telephone_number": "716-567-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Highway 105",
            "address_purpose": "LOCATION",
            "city": "Palmer Lake",
            "state": "CO",
            "postal_code": "801339003",
            "country_code": "US",
            "telephone_number": "719-855-1800 x5038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0015429",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0015628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.