Individual provider Active NPI

Kathryn Grace Hanjani, MA, LPC

  • Professional Counselor
  • Arvada, CO
National Provider Identifier
1891430633
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018242 Issued in CO
Practice address
7142 Vivian CT
Arvada, CO 80004-1271
Phone
(303) 669-2333
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0018242 CO Primary
Counselor 101Y00000X LPC.0018242 CO

Addresses

Primary practice location

7142 Vivian CT
Arvada, CO 80004-1271

Mailing address

7142 Vivian CT
Arvada, CO 80004-1271
Phone (303) 669-2333

Other practice location 1

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL puregracecounseling@yahoo.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122003473 CO Practitioner - Mental Health Counselor 5294183679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Reach Center IncGroup PAC ID 4284526971, 13 clinicians

Practice addresses (Care Compare)

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0018242COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Reach Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Community Reach Center, Inc Current Accepting new patients

Locations

100 Spader Way
Ste 267
Broomfield, CO 80020

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800

Interoperability endpoints

  • Direct secure messaging: kathryn.hanjani.p2@direct.communityreachcenter.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1891430633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 VIVIAN CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800041271",
            "telephone_number": "303-669-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142 VIVIAN CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800041271",
            "telephone_number": "303-669-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANJANI",
        "first_name": "KATHRYN",
        "middle_name": "GRACE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018242",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0018242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "puregracecounseling@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "7142 Vivian Ct",
            "city": "Arvada",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800041271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.