Katherine A. Georgic, BS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6187 Issued in CO

Practice address

1023 Cty Rd 610
Granby, CO 80446

Phone

(970) 887-2179

Fax

(970) 887-9311

NPI assigned

May 9, 2006

Last updated

Jan 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathie A. Ezzo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1093764771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020040",
            "telephone_number": "970-945-2241",
            "fax_number": "970-945-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CTY RD 610",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "80446",
            "telephone_number": "970-887-2179",
            "fax_number": "970-887-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIC",
        "first_name": "KATHERINE",
        "middle_name": "A.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHIE",
            "last_name": "EZZO",
            "middle_name": "A.",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie A Eastman, LPC
• Charles Elias, LCSW MAC LAC
• Eric Cheers Forquer, PT
• Sarah Gabriel, PMHNP
• Alexandra Gaul, MS, CCC-SLP
• Grand County Health and Chiropractic
• Grand Peaks Pediatric Therapy
• Irlanda Estefania Herrera Soto
• Kathleen M Hornbaker, CRNA
• Susan Kay Hornig

• Addiction (Substance Use Disorder) Counselor in Granby, CO
• Providers in Granby, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.