Krystlynn Grundtner, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09927834 Issued in CO

Practice address

8400 E Yale Ave Apt 2-308
Denver, CO 80231-3853

Phone

(651) 271-0032

Fax

(651) 379-1738

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Krystlynn Anne Cumiskey Former name

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

Locations

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.

• Deer Oaks West LLC

  • Clinical Psychologist
  • Littleton, CO
  • NPI 1316345291
  Medicare reassignment NPD
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  CO

  Medicare reassignment NPD
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD
• Counseling Associates

  • Multi-Specialty Clinic/Center
  • Lacrosse, WI
  • NPI 1629382825
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1669801114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 E YALE AVE APT 2-308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313853",
            "telephone_number": "651-271-0032",
            "fax_number": "651-379-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 E YALE AVE APT 2-308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313853",
            "telephone_number": "651-271-0032",
            "fax_number": "651-379-1738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Coon Rapids Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "55433",
            "country_code": "US",
            "telephone_number": "651-774-0011",
            "fax_number": "651-454-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Centre Pointe Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551201271",
            "country_code": "US",
            "telephone_number": "651-774-0011",
            "fax_number": "651-454-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 147th St W",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551247541",
            "country_code": "US",
            "telephone_number": "952-997-3020",
            "fax_number": "952-997-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043378",
            "country_code": "US",
            "telephone_number": "651-774-0011",
            "fax_number": "651-454-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNDTNER",
        "first_name": "KRYSTLYNN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20388",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLYNN",
            "last_name": "CUMISKEY",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Marie Grueber, PHARMD
• Nathan Gruenke
• Jared C Gruhl, D.C.
• Kelly Holly Grundei, M.S.ED., CCC-SLP
• Lauren Kathryn Grundfest, LCSW
• Mitchell Randall Grunwald, DPT
• Kira Ann Grush, MD
• Laura M Grushcow, LCSW
• Rebecca Ilana Grushkin
• Georgia Grusing, MSW, LCSW

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.