SACRED SELF COUNSELING, LLC
NPI 1710614102
Counselor - Mental Health in Canon City, CO
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sacred Self Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Sacred Self Counseling, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Sacred Self Counseling, LLC enrolled in Medicare?
Yes. Sacred Self Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sacred Self Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Sacred Self Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (7) and Marriage and Family Therapist (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Sacred Self Counseling, Llc · NPI 1710614102
Mental Health organization in Canon City, Colorado. Organization record, active in the CMS NPPES registry since August 4, 2022.
## Identity
- **NPI:** 1710614102 (Entity type: Organization)
- **Enumerated:** August 4, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Alyssa Klugh, OWNER
## Practice location
- **Address:** 107 S 9TH ST, Canon City, CO 81212-3800
- **Phone:** (719) 221-0959
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (7), Marriage and Family Therapist (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710614102) · Data from the CMS NPPES public registry.