MEDICARE: SARAH KOLLER MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC.0023412	CO

General Provider Information

NPI Number	:	1114868361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KOLLER MA, LPC

Provider Business Mailing Address
First Line	:	508 FELICITY LOOP
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-9655
Country	:	US
Telephone Number	:	484-336-8990
Fax Number	:

Provider Business Practice Location Address
First Line	:	7222 COMMERCE CENTER DR STE 255
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2632
Country	:	US
Telephone Number	:	719-426-2381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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