Healthcare Provider Details

I. General information

NPI: 1932557436
Provider Name (Legal Business Name): CALLEY J KRAUSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6519 N WINDFIELD AVE # USA
PARKER CO
80134-5964
US

IV. Provider business mailing address

6519 N WINDFIELD AVE # USA
PARKER CO
80134-5964
US

V. Phone/Fax

Practice location:
  • Phone: 970-347-2120
  • Fax:
Mailing address:
  • Phone: 970-347-2120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024862
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACC.0998665
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: