Mallory Lauren Kruse

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

109179 Issued in CO

Practice address

8407 Bryant St
Westminster, CO 80031-3809

Phone

(303) 487-7776

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Reflective Wellness Mind and Body

  • Mental Health Counselor
  • Aurora, CO
  • NPI 1083250039
  Medicare reassignment NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1639726326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 TELLER ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145317",
            "telephone_number": "505-264-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 BRYANT ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313809",
            "telephone_number": "303-487-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "MALLORY",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "109179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik S. Kramer, DO
• Rachel T Kraut, RN
• Kristin J. Frank, Otr, LLC
• Alan J Kroll, PT
• Rachel M Kroncke, DPT
• Natalie Kay Kruse
• Heather L Kubert, SLP
• Sarah Powazki Kuhn, LCSW
• Bailee Mae Kulish, B.S.
• Kyle Kunkel

• Mental Health Counselor in Westminster, CO
• Providers in Westminster, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.