Active NPI
Kathleen A Cundall, LPC
- Addiction (Substance Use Disorder) Counselor
- Longmont, CO
National Provider Identifier
1821209099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1960
- Practice address
- 709 3Rd Ave
Longmont, CO 80501-5926 - Phone
- (303) 776-0855
- NPI assigned
- May 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4149 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1960 | CO | Primary |
Addresses
Primary practice location
709 3Rd Ave
Longmont, CO 80501-5926
Mailing address
1600 Hover St Ste C3
#175
Longmont, CO 80501-2440
Phone (303) 776-0855
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 |
|---|---|---|---|
| 4149 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1821209099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HOVER ST STE C3",
"address_2": "#175",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012440",
"telephone_number": "303-776-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 3RD AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015926",
"telephone_number": "303-776-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDALL",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "4149",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "1960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.