Kenneth G. Eielson II, BS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6098 Issued in CO

Practice address

6916 Highway 82
Glenwood Springs, CO 81601-9435

Phone

(970) 945-2241

Fax

(970) 945-5523

NPI assigned

Jan 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Community Health Initiatives

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glenwood Springs, CO
  • NPI 1437326097
  NPD (past)

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1598902249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BLAKE AVE STE 1A",
            "address_2": "CHI/STORM KING CASE MANAGEMENT",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014269",
            "telephone_number": "970-945-8669",
            "fax_number": "970-947-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 HIGHWAY 82",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816019435",
            "telephone_number": "970-945-2241",
            "fax_number": "970-945-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIELSON",
        "first_name": "KENNETH",
        "middle_name": "G.",
        "name_suffix": "II",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-17",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLORADO DEPARTMENT OF REGULARTORY AGENCIES/CAC CERTIFICATION",
            "identifier": "6098",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelci M Eaton
• Laura Ebone
• Forrest Alan Edhegard, DMD
• Brian G Edmiston, MSPT
• Matthew Ian Ehrlich, M.D.
• Danny Eisenberg, M.D.
• Mackenzie Elder
• Elemental Healing LLC
• Embraceable LLC
• Encourage Psychiatry

• Addiction (Substance Use Disorder) Counselor in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.