NPIMap

Organization Active NPI

Sacred Self Counseling, LLC

  • Mental Health Counselor
  • Buena Vista, CO
National Provider Identifier
1891638409
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SACRED SELF COUNSELING, LLC
Practice address
36 Oak St
Buena Vista, CO 81211
Phone
(719) 430-5292
NPI assigned
Apr 10, 2026
Organization subpart
Yes
Parent organization
SACRED SELF COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Kris Bowen
Title
Credentialing
Phone
(303) 995-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

36 Oak St
Buena Vista, CO 81211

Mailing address

36 Oak St
Buena Vista, CO 81211
Phone (719) 430-5292

National Provider Directory

National Provider Directory
Tax ID family
Sacred Self Counseling LLC4 organizations share this tax ID, including this one
Part of
Sacred Self Counseling LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1891638409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OAK ST",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "81211",
            "telephone_number": "719-430-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OAK ST",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "81211",
            "telephone_number": "719-430-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SELF COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRED SELF COUNSELING, LLC",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "303-995-6761"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.