Active NPI
Heather Ann Kohlhase, MFTC
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1023774643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0014162
- Practice address
- 6180 Lehman Dr Ste 211
Colorado Springs, CO 80918-3459 - Phone
- (719) 357-6031
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTC.0014162 | CO | Primary |
Addresses
Primary practice location
6180 Lehman Dr Ste 211
Colorado Springs, CO 80918-3459
Mailing address
19474 Rim of the World Dr
Monument, CO 80132-9435
Phone (719) 473-1024
Other names 1
- Heather A. Kohlhase
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTC.0014162 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1023774643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19474 RIM OF THE WORLD DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329435",
"telephone_number": "719-473-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6180 LEHMAN DR STE 211",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183459",
"telephone_number": "719-357-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLHASE",
"first_name": "HEATHER",
"middle_name": "ANN",
"credential": "MFTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0014162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "KOHLHASE",
"middle_name": "A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.