Provider Demographics
NPI:1740913888
Name:WHEELER, KRISTEN (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:KEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC, LPCC
Mailing Address - Street 1:3595 S TELLER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2010
Mailing Address - Country:US
Mailing Address - Phone:720-713-0587
Mailing Address - Fax:
Practice Address - Street 1:3595 S TELLER ST STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2010
Practice Address - Country:US
Practice Address - Phone:720-713-0587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016317101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional