Active NPI
Kristin M Meisner, LPC, CAC III
- Professional Counselor
- Canon City, CO
National Provider Identifier
1811273907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6281
- Practice address
- 3239 Independence Rd
Canon City, CO 81212-9380 - Phone
- (719) 275-7650
- Fax
- (719) 275-4209
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6281 | CO | Primary |
Addresses
Primary practice location
3239 Independence Rd
Canon City, CO 81212-9380
Mailing address
1104 Meadows Ave
Canon City, CO 81212-2233
Phone (719) 275-7650
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 |
|---|---|---|---|
| 6281 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1811273907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 MEADOWS AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122233",
"telephone_number": "719-275-7650",
"fax_number": "719-275-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3239 INDEPENDENCE RD",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812129380",
"telephone_number": "719-275-7650",
"fax_number": "719-275-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISNER",
"first_name": "KRISTIN",
"middle_name": "M",
"credential": "LPC, CAC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.