MEDICARE: KRISTIN RAINEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0105997	CO
2	101YP2500X	Professional Counselor	0014507	CO

General Provider Information

NPI Number	:	1528445822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN RAINEY LPC

Provider Business Mailing Address
First Line	:	1180 MULBERRY LN
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-6263
Country	:	US
Telephone Number	:	720-213-6338
Fax Number	:

Provider Business Practice Location Address
First Line	:	7173 S HAVANA ST STE 600
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-3891
Country	:	US
Telephone Number	:	720-213-6338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	05/09/2025

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Directions to “ KRISTIN RAINEY LPC” Practice Location

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