Grace Roots Counseling, P.L.L.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRACE ROOTS COUNSELING, P.L.L.C.

Practice address

16035 Table Mountain Pkwy
Golden, CO 80403-1642

Phone

(303) 997-1459

NPI assigned

Dec 16, 2022

Organization subpart

No

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

Authorized official

Name

Katherine Khrestsov, MSW, LCSWNPI 1982323457

Title

Owner

Phone

(303) 997-1459

Specialties & licenses 1

Addresses

Other names 1

• Grace Roots Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Marie Markham Khrestsov, MSW, LCSW

  • Clinical Social Worker
  • Golden, CO
  • NPI 1982323457
  NPD Authorized official

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1740992189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16035 TABLE MOUNTAIN PKWY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031642",
            "telephone_number": "303-997-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16035 TABLE MOUNTAIN PKWY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031642",
            "telephone_number": "303-997-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ROOTS COUNSELING, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "KHRESTSOV",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-997-1459",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Roots Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Gordon, PA-C
• Azuree Goreham
• Charles A Gottlob, MD
• Allison Joy Gottsch, M.A., CCC-SLP
• Alexia C Gowing, OD
• Karolyn S. Grafel, P.A.
• Sarah Grandberg
• Caitlin Granier, L.M.T.
• Rachel Gray, PHARMD
• Elena Loredana Greenberg

• Mental Health Counselor in Golden, CO
• Providers in Golden, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.