Individual provider Active NPI

Krista Malek, MA

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1861820185
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
.0012962 Issued in CO
Practice address
1244 Pine St
Boulder, CO 80302
Phone
(714) 944-8688
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X .0012962 CO Primary

Addresses

Primary practice location

1244 Pine St
Boulder, CO 80302

Mailing address

5540 Homestead Way
Boulder, CO 80301-3504
Phone (714) 944-8688

Other practice location 1

2100 Broadway
Denver, CO 80205-2526
Phone (303) 293-2220

Other practice location 2

1300 N 17th Ave
Greeley, CO 80631-9584
Phone (970) 347-1375

Other practice location 3

1300 N 17th Ave
Greeley, CO 80631-9584
Phone (970) 347-1375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 5, 2025 through May 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
.0012962COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1861820185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 HOMESTEAD WAY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013504",
            "telephone_number": "714-944-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 PINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "714-944-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052526",
            "country_code": "US",
            "telephone_number": "303-293-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806319584",
            "country_code": "US",
            "telephone_number": "970-347-1375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806319584",
            "country_code": "US",
            "telephone_number": "970-347-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEK",
        "first_name": "KRISTA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": ".0012962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.