Individual provider Active NPI

Kristen Kameko Wittman, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1760053524
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0017241 Issued in CO
Practice address
2860 S Circle Dr Ste G45
Colorado Springs, CO 80906-4113
Phone
(719) 345-2424
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC.0017241 CO Primary

Addresses

Primary practice location

2860 S Circle Dr Ste G45
Colorado Springs, CO 80906-4113

Mailing address

380 N Limit St Apt 383
Colorado Springs, CO 80904-4511
Phone (630) 267-2979

Other names 1

  • Kristen Kameko Yamaoka-Los Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0017241COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Overcomers Counseling Multi-Specialty CurrentSince Oct 6, 2024 Accepting new patients
Overcomers Counseling Multi-Specialty PastSince Jul 4, 2021 Accepting new patients

Locations

2860 S Circle Dr
Ste G45
Colorado Springs, CO 80906
Phone (719) 345-2424

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1760053524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N LIMIT ST APT 383",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044511",
            "telephone_number": "630-267-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE G45",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064113",
            "telephone_number": "719-345-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "KRISTEN",
        "middle_name": "KAMEKO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "YAMAOKA-LOS",
            "middle_name": "KAMEKO",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.