Individual provider Active NPI

Kristen Marisol Kneebone, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1700213402
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924852 Issued in CO
Practice address
2140 N 12TH St
Grand Junction, CO 81501-2916
Phone
(970) 462-7329
Fax
(970) 459-3087
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 09924852 CO Primary

Addresses

Primary practice location

2140 N 12TH St
Grand Junction, CO 81501-2916

Mailing address

2140 N 12TH St
Grand Junction, CO 81501-2916
Phone (970) 462-7329

Other identifiers 1

IdentifierTypeStateIssuer
9000167341MedicaidCO

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
I20201202002440 CO Practitioner - Clinical Social Worker 6002227626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2232 N 7TH St
Suite 7
Grand Junction, CO 81501-7454
Phone (970) 462-7329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09924852COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Services LLC Clinical CurrentSince Oct 1, 2020 Accepting new patients

Locations

2140 N 12th St
Grand Junction, CO 81501
Phone (970) 712-6059

2232 N 7th St
Ste 7
Grand Junction, CO 81501
Phone (970) 309-8704

Organizations & group practices 1

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1700213402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012916",
            "telephone_number": "970-462-7329",
            "fax_number": "970-459-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012916",
            "telephone_number": "970-462-7329",
            "fax_number": "970-459-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEEBONE",
        "first_name": "KRISTEN",
        "middle_name": "MARISOL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000167341",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.