KEVIN PATRICK CROSBY
NPI 1235651670
Counselor - Professional in Trinidad, CO

Q: What is Kevin Crosby's NPI number?

The NPI number for Kevin Crosby is 1235651670. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Q: What is Kevin Crosby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Crosby was last updated on August 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2017PECOS EnrolledAccepts Medicare Assignment

417 S INDIANA AVE, TRINIDAD, CO 81082(719) 846-4416(719) 846-6408 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2018, Mar 17, 2018, Jul 7, 2017 (3 updates tracked since 2017).

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About Kevin Patrick Crosby NPPES

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

KEVIN PATRICK CROSBY (NPI 1235651670) is an individual professional provider in Trinidad, Colorado, licensed in Colorado (LPC.0003658) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Walsenburg, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1235651670

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKEVIN PATRICK CROSBY

Location Address417 S INDIANA AVETrinidad, CO 81082

Mailing Address41 Montebello Rd Ste 200Pueblo, CO 81001-1366 · (719) 545-2746 · Fax (719) 542-9638

Phone(719) 846-4416

Fax(719) 846-6408

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 7, 2017

Last NPPES UpdateAugust 20, 20183 updates tracked since enumeration

✔ NPI 1235651670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0003658

417 S INDIANA AVE, Trinidad, CO 81082

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Secondary Practice Location 1

Location 1926 Russell AveWalsenburg, CO 81089-2134 · Phone (719) 738-2386 · Fax (719) 738-2021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Patrick Crosby is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163872623

PECOS Enrollment IDI20231222003169

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.

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.

JOANNE ESPINOSA R N

Counselor (Mental Health)