Sacred Self Counseling, LLC
NPI 1710614102 · Mental Health Counselor · Canon City, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sacred Self Counseling, LLC is a Mental Health Counselor organization in Canon City, CO (NPI 1710614102).
Provider details
- NPI number
- 1710614102
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alyssa Klugh, Owner(719) 221-0959
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-04
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Sacred Self Counseling, LLC's NPI number?
- Sacred Self Counseling, LLC's National Provider Identifier (NPI) is 1710614102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sacred Self Counseling, LLC?
- Sacred Self Counseling, LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Sacred Self Counseling, LLC located?
- Sacred Self Counseling, LLC's practice location on file with NPPES is 107 S 9th St, Canon City, CO 81212-3800.
- What is Sacred Self Counseling, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sacred Self Counseling, LLC is (719) 221-0959.
- Does Sacred Self Counseling, LLC accept Medicare?
- Sacred Self Counseling, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sacred Self Counseling, LLC?
- The authorized official listed on Sacred Self Counseling, LLC's NPPES record is Alyssa Klugh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sacred Self Counseling, LLC's NPI active?
- Yes — Sacred Self Counseling, LLC's NPI (1710614102) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.