Individual Healthcare Provider
Grace Elise Kackstaetter, MA, MFTC
Provider's NPPES record last updated: September 25, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003567041
- Primary Specialty
- Counselor — Mental Health
- Practice Location
- Northglenn, Colorado
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:02 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X
Provider-Reported License Information
- Counselor (Colorado)
- MFTC.0014626
Practice Locations
Practice Location
10190 Bannock St Ste 120
Northglenn, Colorado 80260-6052
Phone: (970) 460-8009
Additional Practice Location
830 Mt Sneffels Ave
Severance, Colorado 80550-4888
Phone: (970) 460-8009
Additional Practice Location
3400 W 16th St Ste S
Greeley, Colorado 80634-6872
Phone: (970) 460-8009
Record Information
- Enumeration Date
- January 11, 2022
- Provider's NPPES Record Last Updated
- September 25, 2024
- Certification Date
- September 25, 2024
- NPISignal NPPES Dataset
- August 2026
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