Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kristin Modin, PHDLAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033608203

Dr. Kristin Modin, PHDLAC is a Mental Health Counselor in Denver, Colorado. Qualified in 2007, 19 years ago. Registered with an NPI since 2018.

Years since qualifying
19
In the registry since
2018
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Practice location Address checks out

1155 Cherokee St
Denver, CO 80204-3632
Phone: (303) 436-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1033608203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLAC
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESDecember 31, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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