Cassidy S Koretko

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0018974 Issued in CO

Practice address

10327 Washington St
Thornton, CO 80229-2003

Phone

(720) 379-6995

NPI assigned

May 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 29, 2024 through May 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• H.E.a.R.T Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Thornton, CO
  • NPI 1720523384
  NPD
• H.E.a.R.T Counseling Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westminster, CO
  • NPI 1790389831
  NPD

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1922746288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10327 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292003",
            "telephone_number": "720-379-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10327 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292003",
            "telephone_number": "720-379-6995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12207 Pecos St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802343891",
            "country_code": "US",
            "telephone_number": "720-379-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORETKO",
        "first_name": "CASSIDY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.00024720",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Kohn-Bardelman
• Meghann Kohtz, PHARMD
• Alexandra Rose Kolar
• Sara Konopka, AGNP-C
• Michael Kopstein, D.O.
• Isabelle Kornberg
• Jean L Kortz, RN
• Katelyn Kortz, MSW
• Christie Lynn Kraeger, LCSW
• Janelle Marie Kramer, MA, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.