Healthcare Provider Details

I. General information

NPI: 1114868361
Provider Name (Legal Business Name): SARAH KOLLER MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7222 COMMERCE CENTER DR STE 255
COLORADO SPRINGS CO
80919-2632
US

IV. Provider business mailing address

508 FELICITY LOOP
CASTLE ROCK CO
80109-9655
US

V. Phone/Fax

Practice location:
  • Phone: 719-426-2381
  • Fax:
Mailing address:
  • Phone: 484-336-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0023412
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: