NPIMap

Organization Active NPI

Sacred Self Counseling, LLC

  • Mental Health Counselor
  • Salida, CO
National Provider Identifier
1942140496
Registry record updated Apr 1, 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
130 W 2ND St
Salida, CO 81201-2045
Phone
(719) 430-5292
NPI assigned
Apr 1, 2026
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SACRED SELF COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

130 W 2ND St
Salida, CO 81201-2045

Mailing address

130 W 2ND St
Salida, CO 81201-2045

National Provider Directory

National Provider Directory
Tax ID family
Sacred Self Counseling4 organizations share this tax ID, including this one
Part of
Sacred Self Counseling

Other organizations with this tax ID 3

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

Locations

130 W 2nd St
Salida, CO 81201
Phone (719) 430-5292

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1942140496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 2ND ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 2ND ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012045",
            "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": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "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": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.