Active NPI
Amber Kosloske, MS, LPC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1992322747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0018590
- Practice address
- 5155 Laredo Ridge Dr
Colorado Springs, CO 80922-2222 - Phone
- (719) 321-9673
- NPI assigned
- Jun 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LPCC.0017567 | CO | |
| Mental Health Counselor | 101YM0800X | LPC.0018590 | CO | Primary |
Addresses
Primary practice location
5155 Laredo Ridge Dr
Colorado Springs, CO 80922-2222
Mailing address
5155 Laredo Ridge Dr
Colorado Springs, CO 80922-2222
Phone (719) 321-9673
Other names 1
- Amber Brandt
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajk@convenientcoloradocounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0018590 | CO | MD | Mental Health Counselor |
| LPCC.0017567 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1992322747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 LAREDO RIDGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809222222",
"telephone_number": "719-321-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5155 LAREDO RIDGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809222222",
"telephone_number": "719-321-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSLOSKE",
"first_name": "AMBER",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-28",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "LPCC.0017567",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0018590",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajk@convenientcoloradocounseling.com",
"affiliation": "N",
"endpointDescription": "business email address",
"address_1": "5155 Laredo Ridge Dr",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809222222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMBER",
"last_name": "BRANDT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.