Individual provider Active NPI

Kathryn L Kenigsberg, LPC

  • Mental Health Counselor
  • Greeley, CO
National Provider Identifier
1952074890
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0022451 Issued in CO
Practice address
1705 61St Ave Ste E
Greeley, CO 80634-8164
Phone
(970) 344-9129
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0022451 CO Primary

Addresses

Primary practice location

1705 61St Ave Ste E
Greeley, CO 80634-8164

Mailing address

814 54TH Avenue CT
Greeley, CO 80634-4478
Phone (970) 344-9129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 3, 2025 through Dec 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0022451COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1952074890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 54TH AVENUE CT",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344478",
            "telephone_number": "970-344-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 61ST AVE STE E",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348164",
            "telephone_number": "970-344-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENIGSBERG",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0022451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.