Active NPI
Trinda Hosselkus, MA LPC LAC
- Professional Counselor
- Canon City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016022
- Practice address
- 420 Pike Ave
Canon City, CO 81212-3134 - Phone
- (719) 371-1435
- NPI assigned
- Sep 15, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001403 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB.0007696 | CO | |
| Professional Counselor | 101YP2500X | LPC.0016022 | CO | Primary |
Addresses
Primary practice location
420 Pike Ave
Canon City, CO 81212-3134
Mailing address
420 Pike Ave
Canon City, CO 81212-3134
Other practice location 1
3239 Independence Rd
Canon City, CO 81212-9380
Phone (719) 275-7650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9804 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skylinecounselingandconsulting@sklcc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 S 9TH St
Suite E
Canon City, CO 81212-3817
Phone (719) 221-0959
831 Royal Gorge Blvd
Suite 222
Canon City, CO 81212-6709
Phone (719) 371-1435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.0007696 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| ACD.0001403 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0016022 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Counseling and Consulting | Current | Accepting new patients | |
| Sacred Self Counseling, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| New Frontiers Counseling LLC | Past | Accepting new patients |
Locations
107 S 9th St
Ste E
Canon City, CO 81212
Phone (719) 221-0959
831 Royal Gorge Blvd
Ste 222
Canon City, CO 81212
Phone (719) 371-1435
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Canon City, CO
- NPI 1710614102
Addiction (Substance Use Disorder)
-
- Adult Mental Health Clinic/Center
- Canon City, CO
- NPI 1023740370
-
- Clinical Social Worker
- Fountain, CO
- NPI 1194577098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1861911315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 PIKE AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 PIKE AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123134",
"telephone_number": "719-371-1435"
}
],
"practiceLocations": [
{
"address_1": "3239 Independence Rd",
"address_purpose": "LOCATION",
"city": "Canon City",
"state": "CO",
"postal_code": "812129380",
"country_code": "US",
"telephone_number": "719-275-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOSSELKUS",
"first_name": "TRINDA",
"credential": "MA LPC LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001403",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB.0007696",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9804",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skylinecounselingandconsulting@sklcc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "420 Pike Ave",
"city": "Canon City",
"state": "CO",
"country_code": "US",
"postal_code": "812123134",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.