Healthcare Provider Details

I. General information

NPI: 1225861404
Provider Name (Legal Business Name): LAURA A KRISS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988 BLUE RIVER PARKWAY
SILVERTHORNE CO
80498
US

IV. Provider business mailing address

3623 RYAN GULCH RD
SILVERTHORNE CO
80498-5161
US

V. Phone/Fax

Practice location:
  • Phone: 719-581-2001
  • Fax:
Mailing address:
  • Phone: 719-581-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0024367
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: