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GRACE ELISE KACKSTAETTER MA, MFTC
NPI 1003567041
Counselor - Mental Health in Northglenn, CO

Active since January 11, 2022
10190 BANNOCK ST STE 120, NORTHGLENN, CO 80260(970) 460-8009 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Jul 26, 2023, Jan 11, 2022 (3 updates tracked since 2022).

About Grace Elise Kackstaetter Ma, Mftc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ELISE KACKSTAETTER MA, MFTC (NPI 1003567041) is an individual mental health provider in Northglenn, Colorado, licensed in Colorado (MFTC.0014626) and active in the NPI registry since January 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003567041
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRACE ELISE KACKSTAETTERCredential: MA, MFTC
Location Address10190 BANNOCK ST STE 120Northglenn, CO 80260-6052
Mailing Address830 Mt Sneffels AveSeverance, CO 80550-4888 · (801) 708-3673
Phone(970) 460-8009
Sole ProprietorYes
Enumeration DateJanuary 11, 2022
Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1003567041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · MFTC.0014626
10190 BANNOCK ST STE 120, Northglenn, CO 80260
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Secondary Practice Locations 2

Location 1830 Mt Sneffels AveSeverance, CO 80550-4888 · Phone (970) 460-8009
Location 23400 W 16th St Ste SGreeley, CO 80634-6872 · Phone (970) 460-8009

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL MARIE CARWIN BSW
Social Worker
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865
ELIZABETH PRATT
Counselor (Mental Health)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (720) 826-3499
LINDSAY PRUITT LPCC
Counselor (Mental Health)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (720) 826-3499
KENNY LE LPC
Counselor (Professional)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865
CASSANDRA DETWILER
Social Worker
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865
ALYSSA BATES MSW, LCSW
Social Worker (Clinical)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (720) 446-8227
SONIYA POKHAREL
Counselor (Mental Health)
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865
IZABELLA KHODIK
Behavior Technician
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260
Adams County (303) 237-6865

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Kackstaetter's NPI number?

The NPI number for Grace Kackstaetter is 1003567041. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Grace Kackstaetter located?

Grace Kackstaetter practices at 10190 Bannock St Ste 120, Northglenn, CO 80260. The listed phone number is (970) 460-8009.

What is Grace Kackstaetter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Grace Kackstaetter was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.