Eileen M Kinkelaar, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5199 Issued in CO

Practice address

0405 Castle Creek Rd
Ste 9
Aspen, CO 81611-3125

Phone

(970) 920-5555

Fax

(970) 920-5557

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Colorado West Regional Mental Health Inc.

  • Community/Behavioral Health Agency
  • Aspen, CO
  • NPI 1881427979
  NPD (past)
• Colorado West Regional Mental Health, Inc.

  • Professional Counselor
  • Grand Junction, CO
  • NPI 1275214959
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1760537872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020040",
            "telephone_number": "970-945-2241",
            "fax_number": "970-945-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0405 CASTLE CREEK RD",
            "address_2": "STE 9",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816113125",
            "telephone_number": "970-920-5555",
            "fax_number": "970-920-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKELAAR",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6471",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medina L Kelly, PH.D
• Sabrina Yvette Kertz, RN
• Shari L Kiehnbaum, PA-C
• Gail S King, MD
• Susan Anne King, L.AC
• Stuart D Kinsella, MD
• Riggs Joseph Klika, PH.D., FACSM
• Dana Marie Koehn, ATC
• Kelsey Lynn Koenig, LPC, CRC
• Robert Wayne Krakovitz, M.D.

• Professional Counselor in Aspen, CO
• Providers in Aspen, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.