KATHLEEN A CUNDALL (NPI# 1821209099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821209099 |
| Entity Type | Individual |
| Full Name | KATHLEEN A CUNDALL |
| Credential | LPC |
| Practice Address |
709 3rd Ave Longmont CO 80501-5926 |
| Mailing Address |
1600 Hover St Ste C3 #175 Longmont CO 80501-2440 |
| Practice Telephone | 3037760855 |
| Mailing Telephone | 3037760855 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 4149 | CO | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1960 | CO | Behavioral Health & Social Service Providers |
| Street Address |
709 3RD AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013556679 | John Vandegrift | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2019-12-31 |
| 1780221820 | Erica Joy Besen | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2019-12-09 |
| 1649756768 | Elizabeth Kate Kendrick | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2018-07-11 |
| 1518453752 | Dan Leslie Kendrick | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2018-07-10 |
| 1104339050 | Jeremy Hamann | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2017-11-14 |
| 1225576481 | Aspen Counseling Group | Community/Behavioral Health | 709 3rd Ave, Longmont, CO 80501-5926 | 2017-02-08 |
| 1851835557 | Akasha Counseling | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2016-12-14 |
| 1912316993 | Mary Rose | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2014-08-04 |
| 1154745883 | Rose Lydia Ayars | Social Worker | 709 3rd Ave, Longmont, CO 80501-5926 | 2014-02-17 |
| 1194090902 | Johanna Kove Lindau | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2012-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| 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 |
|---|---|---|---|---|
| 1861092710 | Ascent Community Services, Inc | Counselor | 720 100 Yearparty Ct Ste A, Longmont, CO 80504-8512 | 2020-10-29 |
| 1982243416 | Elisa Joy Lewis Johnson | Counselor | 825 Delaware Ave Ste 206, Longmont, CO 80501-6169 | 2020-01-01 |
| 1407410145 | Lisa Koets | Counselor | 1446 Hover St Ste 205, Longmont, CO 80501-2485 | 2019-04-29 |
| 1427372127 | Dolores Devargas-schoonover | Counselor | 715 Emery St., Longmont, CO 80501 | 2010-03-24 |
| 1063658136 | Danielle Schlagel | Counselor | 323 3rd Ave, Suite 200, Longmont, CO 80501 | 2008-12-19 |
| 1649480740 | Mimi Farrelly-hansen | Counselor | 7548 Cresthill Dr, Longmont, CO 80504-7742 | 2007-05-23 |
| 1083765507 | Christine Joy Bayless | Counselor | 500 9th Ave, Longmont, CO 80501-4598 | 2007-01-12 |
| 1932205143 | Walter David Revoal | Counselor | 834 S Sherman St, Longmont, CO 80501-6323 | 2006-09-15 |
| 1942314034 | Rhonda Beaupre | Counselor | 500 Kimbark Street, Longmont, CO 80501 | 2006-08-18 |
| 1275134728 | Ascent Community Services, Inc | Counselor | 720 100 Yearparty Ct Ste A, Longmont, CO 80504-8512 | 2020-11-02 |
| Find all providers in LONGMONT | ||||
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| 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.