Provider Demographics
NPI:1346043148
Name:PIERSON, KRISTOFFER JOHN (MFT-C, LPCC)
Entity type:Individual
Prefix:
First Name:KRISTOFFER
Middle Name:JOHN
Last Name:PIERSON
Suffix:
Gender:
Credentials:MFT-C, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13009 S PARKER RD # 347
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3449
Mailing Address - Country:US
Mailing Address - Phone:720-772-8341
Mailing Address - Fax:
Practice Address - Street 1:12968 VENTANA ST
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7795
Practice Address - Country:US
Practice Address - Phone:602-373-1567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014770101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health