Julie Ann Kostuch, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1192 Issued in CO

Practice address

128 W 14TH St Ste 202
Durango, CO 81301-5100

Phone

(970) 375-7736

Fax

(970) 375-7736

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881741528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 14TH ST STE 202",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015100",
            "telephone_number": "970-375-7736",
            "fax_number": "970-375-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W 14TH ST STE 202",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015100",
            "telephone_number": "970-375-7736",
            "fax_number": "970-375-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTUCH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093115",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darci R Kochen, R.M.T.
• Sandra Koenig, CCC-SLP
• Kelsey Kolz, M.S., LPCC
• Jay Komarek, D.C., C.A.C.
• Kathleen Marie Korndoerfer, M.A.
• Simon Kotlyar
• Kristin E Kozak, RN
• Gina MK Kramer, MCJ, LCSW
• Cynthia Renae Kraushaar, PT
• Kristin Spiegel, LCSW, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.