Kelly Kreuzberger, LAC, LPC
Individual provider Active NPI Mental Health Counselor · Manitou Springs, CO
NPI 1033734108 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1033734108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC.0018313 (CO)
- Practice address
- 16 Mountain View Rd
Manitou Springs, CO 80829-2742 - Phone
- (720) 593-0887
- NPI assigned
- Jun 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207004038 | CO | Practitioner - Mental Health Counselor | 0345683371 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001987 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Kreuzberger LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Mile High Therapy | Past |
Accepting new patients | |
| Mile High Therapy | Counselor | Past |
Accepting new patients |
Locations
6170 Lehman Dr
Ste 105
Colorado Springs, CO 80918
Phone (254) 315-8661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001987 | CO | |
| Mental Health Counselor | 101YM0800X | LPC.0018313 | CO | Yes |
Addresses
Primary practice location
16 Mountain View Rd
Manitou Springs, CO 80829-2742
Mailing address
16 Mountain View Rd
Manitou Springs, CO 80829-2742
Phone (720) 593-0887
Other providers in Manitou Springs, CO
- Marie Patricia Ingle
- K and M Music Therapy LLC
- Joanne Sue Keeler-Roberts
- Kelly Kreuzberger LLC
- Karlene Kilmer
- Patti Ann Lachance
- Roncia Reshia Lapread-St Clair
- Tyler Lester
- Kathleen Kimberly Lind Leander
- Patrick Mannion
All providers in Manitou Springs, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.