Healthcare Provider Details

I. General information

NPI: 1578409736
Provider Name (Legal Business Name): CORE CONSCIOUSNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 61ST AVE STE G
GREELEY CO
80634-8164
US

IV. Provider business mailing address

6600 W 20TH ST UNIT 44
GREELEY CO
80634-9688
US

V. Phone/Fax

Practice location:
  • Phone: 970-590-9040
  • Fax:
Mailing address:
  • Phone: 970-590-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRISTI L OGREN
Title or Position: OWNER
Credential:
Phone: 970-590-9040