Provider Demographics
NPI:1225689110
Name:ORTEGA-RIERA, KRISTINE (MS)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:ORTEGA-RIERA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18799 E 65TH AVE APT 2114
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7817
Mailing Address - Country:US
Mailing Address - Phone:720-437-9627
Mailing Address - Fax:
Practice Address - Street 1:18799 E 65TH AVE APT 2114
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7817
Practice Address - Country:US
Practice Address - Phone:720-542-9740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional