Healthcare Provider Details

I. General information

NPI: 1851545586
Provider Name (Legal Business Name): NICOLE MELYNN KINDT MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 WEWATTA WAY UNIT 215
DENVER CO
80216-3726
US

IV. Provider business mailing address

2520 WEWATTA WAY UNIT 215
DENVER CO
80216-3726
US

V. Phone/Fax

Practice location:
  • Phone: 406-533-2973
  • Fax: 406-782-2045
Mailing address:
  • Phone: 406-490-2863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0013234
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7071567
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-1521
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: