Kristin Marie Speleos

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23998 Issued in AZ

Practice address

153 S Lynx Creek Rd
Prescott, AZ 86303-6815

Phone

(520) 779-2764

NPI assigned

Jun 9, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1952235640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051667",
            "telephone_number": "520-779-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S LYNX CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036815",
            "telephone_number": "520-779-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELEOS",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc
• Colleen J Speidell, FNP-BC
• Lincoln Sperry, LMSW-13983
• Randy J Spicer, NMD
• Bailey Spiers
• John Spitalieri, DO
• Spitler - Lilley, LLC

• Mental Health Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.