BLAKELY KRYSTEN SJOSTEDT (NPI# 1144845298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144845298 |
| Entity Type | Individual |
| Full Name | BLAKELY KRYSTEN SJOSTEDT |
| Credential | LSW |
| Practice Address |
320 W Olive St Fort Collins CO 80521-2716 |
| Mailing Address |
4119 Tanager St Fort Collins CO 80526-3687 |
| Practice Telephone | 9703089733 |
| Mailing Telephone | 8137287420 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LSW.0009922792 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4119 Tanager St, Fort Collins, CO 805263687 | 9703089733 |
| Street Address |
320 W OLIVE ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703652 | Lifespan Family Medical Services | Clinic/Center | 320 W Olive St, Fort Collins, CO 80521-2716 | 2006-11-07 |
| 1477167336 | Psychotherapy | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-09-08 |
| 1265045595 | Alexandra Hogan | Nurse Practitioner | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-08-26 |
| 1821601378 | Margaret Mae Johnson | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-08-25 |
| 1083224695 | Janelle Adrienne Cendana Aguilon | Registered Nurse | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-08-07 |
| 1497365431 | Anthony Severtson | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-08-04 |
| 1912524711 | Lacey Dawn Fivecoat | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-06-29 |
| 1003431982 | Elizabeth Poulin-rodriguez | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-06-16 |
| 1366076358 | Carl Nassar | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-02-27 |
| 1750949228 | Sandra Ellen Fortson | Social Worker | 320 W Olive St, Fort Collins, CO 80521-2716 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484318 | Kelly Elizabeth Sinning | Counselor | 19 Old Town Sq Ste 272, Fort Collins, CO 80524-2471 | 2020-10-15 |
| 1518516988 | Melissa Marie Gonzales | Counselor | 375 E Horsetooth Rd Ste 101, Fort Collins, CO 80525-3155 | 2019-09-09 |
| 1124674940 | Katie Renee Frisch | Counselor | 649 Sherry Dr, Fort Collins, CO 80524-8513 | 2019-08-16 |
| 1548812142 | Jennifer Lin Meyer | Counselor | 4025 Automation Way Unit D3, Fort Collins, CO 80525-3448 | 2019-07-12 |
| 1427517127 | Melissa Root | Counselor | 2625 Redwing Rd Ste 180, Fort Collins, CO 80526-6324 | 2019-03-13 |
| 1447722111 | Gabrielle Fihn | Counselor | 1600 Specht Point Rd # 108, Fort Collins, CO 80525-4311 | 2018-12-19 |
| 1114408713 | Amy L Myhre | Counselor | 400 Impala Cir Unit 6, Fort Collins, CO 80521-5114 | 2018-08-22 |
| 1881172377 | Chelsea Elizabeth Twiss | Counselor | 1209 W Plum St Apt A6, Fort Collins, CO 80521-3579 | 2018-08-06 |
| 1952887945 | Paul Allan Chubbuck | Counselor | 1010 Morgan St, Fort Collins, CO 80524-3857 | 2018-07-13 |
| 1427541739 | Martha Canji | Counselor | 375 E Horsetooth Rd Ste 111, Fort Collins, CO 80525-3155 | 2018-06-11 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
Please comment or provide details below to improve the information on BLAKELY KRYSTEN SJOSTEDT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.