KRISTEN KING LAC
NPI 1083314843
Counselor - Addiction (Substance Use Disorder) in Fort Collins, CO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since March 08, 2023PECOS Enrolled

4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2025, Mar 10, 2025, Mar 8, 2023 (3 updates tracked since 2023).

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About Kristen King Lac NPPES

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

KRISTEN KING LAC (NPI 1083314843) is an individual addiction (substance use disorder) provider in Fort Collins, Colorado, licensed in Colorado (ACD.0002559) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083314843

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKRISTEN KINGCredential: LAC

Location Address4856 INNOVATION DRFort Collins, CO 80525-5539

Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824

Phone(970) 494-4200

Fax(844) 270-1824

Sole ProprietorNo

Enumeration DateMarch 8, 2023

Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1083314843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CO · ACD.0002559

Also ListedDriverTaxonomy 172A00000X

4856 INNOVATION DR, Fort Collins, CO 80525

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Other Names 1

Other Name (5)Nova King Cat

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen King Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.