Individual provider Active NPI

Keyondria Annalee Ross, MS, LPC, NCC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1679212807
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0021483 Issued in CO
Practice address
4896 Halifax CT
Denver, CO 80249-7621
Phone
(931) 217-2899
NPI assigned
Jun 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 LPC.0021483 CO Primary

Addresses

Primary practice location

4896 Halifax CT
Denver, CO 80249-7621

Mailing address

4896 Halifax CT
Denver, CO 80249-7621
Phone (931) 217-2899

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250310001511 CO Practitioner - Mental Health Counselor 0749701522 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC.0021483COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks West LLC CurrentSince Mar 4, 2025 Accepting new patients
Let'S Just Breathe Counseling and Psychology CurrentSince Jan 19, 2025 Accepting new patients

Locations

5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1679212807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 HALIFAX CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497621",
            "telephone_number": "931-217-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4896 HALIFAX CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497621",
            "telephone_number": "931-217-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KEYONDRIA",
        "middle_name": "ANNALEE",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0021483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.