Individual provider Active NPI

Kaley Lynn Chiles, LPC, LAC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1700309903
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0013546 Issued in CO
Practice address
7710 N Union Blvd Ste 100B
Colorado Springs, CO 80920-4085
Phone
(719) 357-9088
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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.0013546 CO Primary

Addresses

Primary practice location

7710 N Union Blvd Ste 100B
Colorado Springs, CO 80920-4085

Mailing address

711 N Cascade Ave
Colorado Springs, CO 80903-3283
Phone (719) 298-4070

Other practice location 1

6180 Lehman Dr Ste 100
Colorado Springs, CO 80918-3415
Phone (719) 452-4803 ext. 709

Other practice location 2

12295 Oracle Blvd Ste 200
Colorado Springs, CO 80921-3901
Phone (719) 452-4803 ext. 709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 6, 2024 through May 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0013546COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1700309903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033283",
            "telephone_number": "719-298-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 N UNION BLVD STE 100B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204085",
            "telephone_number": "719-357-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6180 Lehman Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183415",
            "country_code": "US",
            "telephone_number": "719-452-4803 x709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12295 Oracle Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213901",
            "country_code": "US",
            "telephone_number": "719-452-4803 x709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILES",
        "first_name": "KALEY",
        "middle_name": "LYNN",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.