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SACRED SELF COUNSELING, LLC
NPI 1710614102
Counselor - Mental Health in Canon City, CO

Active since August 04, 2022
107 S 9TH ST, CANON CITY, CO 81212(719) 221-0959 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Aug 4, 2022 (2 updates tracked since 2022).

About Sacred Self Counseling, Llc NPPES

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

SACRED SELF COUNSELING, LLC (NPI 1710614102) is a healthcare organization registered as a mental health in Canon City, Colorado and active in the NPI registry since August 2022. The organization lists Alyssa Klugh, Owner, as its authorized official.

NPPES Registry Identity

NPI1710614102
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSACRED SELF COUNSELING, LLC
Location Address107 S 9TH STCanon City, CO 81212-3800
Mailing Address921 Barr AveCanon City, CO 81212-2131 · (719) 221-0959
Phone(719) 221-0959
Organization SubpartNo
Authorized OfficialAlyssa KlughOwner · (719) 221-0959
Enumeration DateAugust 4, 2022
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1710614102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
107 S 9TH ST, Canon City, CO 81212
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MS. TINA LORRAINE BEZONA LPC
Counselor (Professional)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 430-5929
SHELBY LYNNE HILL
Counselor (Mental Health)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 430-5292
AMY BERGANT MSW
Social Worker (Clinical)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 429-1260
ALYSSA KLUGH
Counselor (Mental Health)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 221-0959
KARI KAZUMI YAMADA
Counselor (Mental Health)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 430-5292
TRISTIN BUCHANAN
Counselor (Mental Health)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 240-4726
BRIANNE IRELAND
Counselor (Mental Health)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 430-5292
SHANELE RENEE MARQUEZ LPCC MS, INTERN
Counselor (Professional)
107 S 9TH ST
CANON CITY, CO 81212
Fremont County (719) 285-9276

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 Sacred Self Counseling, LLC's NPI number?

The NPI number for Sacred Self Counseling, LLC is 1710614102. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Sacred Self Counseling, LLC located?

Sacred Self Counseling, LLC is located at 107 S 9th St, Canon City, CO 81212. The listed phone number is (719) 221-0959.

What is Sacred Self Counseling, LLC'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 Sacred Self Counseling, LLC was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.