Individual provider Active NPI

Kasey Joseph Clark Esponda, MS, LPC

  • Professional Counselor
  • Highlands Ranch, CO
National Provider Identifier
1619689395
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0018648 Issued in CO
Practice address
9135 Ridgeline Blvd Ste 160
Highlands Ranch, CO 80129-2395
Phone
(303) 800-6093
NPI assigned
Dec 14, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 0018648 CO Primary

Addresses

Primary practice location

9135 Ridgeline Blvd Ste 160
Highlands Ranch, CO 80129-2395

Mailing address

2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0018648COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

Organizations & group practices 2

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1619689395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 RIDGELINE BLVD STE 160",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292395",
            "telephone_number": "303-800-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPONDA",
        "first_name": "KASEY",
        "middle_name": "JOSEPH CLARK",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0018648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.