Individual provider Active NPI

Khara Kay Croswaite Brindle, MA, LPC, ACS

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1750661799
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012029 Issued in CO
Practice address
495 Uinta Way
Suite 120
Denver, CO 80230-7110
Phone
(720) 245-7390
NPI assigned
Aug 22, 2011
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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.0012029 CO Primary

Addresses

Primary practice location

495 Uinta Way
Suite 120
Denver, CO 80230-7110

Mailing address

7700 E Academy Blvd
Unit 305
Denver, CO 80230-7167
Phone (720) 245-7390

Other identifiers 1

IdentifierTypeStateIssuer
13305034MedicaidCO

Other names 1

  • Khara Kay Croswaite Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC.0012029COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Croswaite Counseling, PLLC Professional CurrentSince Jan 18, 2024 Accepting new patients
Croswaite Counseling, PLLC Professional Past Accepting new patients
Croswaite Counseling, PLLC Past Accepting new patients
Croswaite Counseling, PLLC Professional Past Accepting new patients
Croswaite Counseling, PLLC Past Accepting new patients
Croswaite Counseling, PLLC Professional Past Accepting new patients
Croswaite Counseling, PLLC Professional Past Accepting new patients

Locations

1120 W South Boulder Rd
Ste 101J
Lafayette, CO 80026
Phone (720) 245-7390

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1750661799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 E ACADEMY BLVD",
            "address_2": "UNIT 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307167",
            "telephone_number": "720-245-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY",
            "address_2": "SUITE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307110",
            "telephone_number": "720-245-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSWAITE BRINDLE",
        "first_name": "KHARA",
        "middle_name": "KAY",
        "credential": "MA, LPC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13305034",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHARA",
            "last_name": "CROSWAITE",
            "middle_name": "KAY",
            "credential": "MA, LPC, ACS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.