Individual provider Active NPI

Maya Kathleen Redhorse, LPC, LAC

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1740415223
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6298 Issued in CO
Practice address
7220 W Jefferson Ave Ste 404
Lakewood, CO 80235-2016
Phone
(720) 678-9400
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7071 CO
Mental Health Counselor 101YM0800X 6298 CO Primary

Addresses

Primary practice location

7220 W Jefferson Ave Ste 404
Lakewood, CO 80235-2016

Mailing address

7220 W Jefferson Ave Ste 404
Lakewood, CO 80235-2016
Phone (720) 678-9400

Other identifiers 1

IdentifierTypeStateIssuer
43500072MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7071COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kikta Behavioral Health LLC Mental Health CurrentSince Jun 16, 2024 Accepting new patients
Kikta Behavioral Health LLC Addiction (Substance Use Disorder) CurrentSince Dec 1, 2020 Accepting new patients

Locations

7220 W Jefferson Ave
Ste 404
Lakewood, CO 80235
Phone (303) 225-7673

14405 W Colfax Ave
#129
Lakewood, CO 80401

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1740415223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 W JEFFERSON AVE STE 404",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352016",
            "telephone_number": "720-678-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 W JEFFERSON AVE STE 404",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352016",
            "telephone_number": "720-678-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDHORSE",
        "first_name": "MAYA",
        "middle_name": "KATHLEEN",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7071",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43500072",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.