Provider Demographics
NPI:1629873385
Name:KVIST, KRISTIN B (LPC)
Entity type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:B
Last Name:KVIST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 S QUEBEC ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2663
Mailing Address - Country:US
Mailing Address - Phone:720-484-4996
Mailing Address - Fax:720-794-6494
Practice Address - Street 1:4401 S QUEBEC ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2663
Practice Address - Country:US
Practice Address - Phone:720-775-7948
Practice Address - Fax:720-794-6494
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020594101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty