Kelly Kreuzberger LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KELLY KREUZBERGER LLC

Practice address

16 Mountain View Rd
Manitou Springs, CO 80829-2742

Phone

(720) 593-0887

NPI assigned

Dec 13, 2022

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Kreuzberger, LPC, LACNPI 1033734108

Title

Owner

Phone

(720) 593-0887

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Kreuzberger, LAC, LPC

  • Mental Health Counselor
  • Manitou Springs, CO
  • NPI 1033734108

  Addiction (Substance Use Disorder)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1023729761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN VIEW RD",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808292742",
            "telephone_number": "719-231-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN VIEW RD",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808292742",
            "telephone_number": "720-593-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY KREUZBERGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KREUZBERGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-593-0887",
        "authorized_official_credential": "LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000212606",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Karlene Kilmer, PHD
• Kelly Kreuzberger, LAC, LPC
• Patti Ann Lachance
• Roncia Reshia Lapread-St Clair
• Tyler Lester

• Mental Health Counselor in Manitou Springs, CO
• Providers in Manitou Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.