Active NPI
Kristen Kameko Wittman, LPC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1760053524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0017241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0017241 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overcomers Counseling | Multi-Specialty | Current | Accepting new patients |
| Overcomers Counseling | Multi-Specialty | Past | 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.