| Kelly Kreuzberger Llc | |
|
16 Mountain View Rd Manitou Springs CO 80829-2742 | |
| (720) 593-0887 | |
| Not Available |
| Full Name | Kelly Kreuzberger Llc |
|---|---|
| Speciality | Counselor |
| Location | 16 Mountain View Rd, Manitou Springs, Colorado |
| Authorized Official Name and Position | Kelly Kreuzberger (OWNER) |
| Authorized Official Contact | 7205930887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Kreuzberger Llc 16 Mountain View Rd Manitou Springs CO 80829-2742 Ph: (719) 231-6427 | Kelly Kreuzberger Llc 16 Mountain View Rd Manitou Springs CO 80829-2742 Ph: (720) 593-0887 |
| NPI Number | 1023729761 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 9436592466 |
|---|---|
| Medicare Enrollment ID | O20240207001187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023729761 | NPI | - | NPPES |
| 9000212606 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kelly Rae Kreuzberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033734108 PECOS PAC ID: 0345683371 Enrollment ID: I20240207004038 |
Heart Mind Soul Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Via Sierra Grande, Manitou Springs, CO 80829 Phone: 315-921-1264 | |
Serenity Springs Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Manitou Ave, Manitou Springs, CO 80829 Phone: 719-357-5127 | |
Roxanne Upshaw, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 Manitou Ave Ste 201, Manitou Springs, CO 80829 Phone: 719-963-6487 | |
Talk Therapy Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Mountain View Rd, Manitou Springs, CO 80829 Phone: 719-231-6427 |