Katie R. Eustice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09924585 Issued in CO

Practice address

8104 De Anza Peak TRL
Colorado Springs, CO 80924-4491

Phone

(303) 902-0653

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katie R. Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McKay Counseling PLLC

  • Professional Counselor
  • Brewer, ME
  • NPI 1568058311
  NPD
• Brave Journeys Counseling LLC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1386400083
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1093797060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 DE ANZA PEAK TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244491",
            "telephone_number": "303-902-0653",
            "fax_number": "719-314-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 DE ANZA PEAK TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244491",
            "telephone_number": "303-902-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTICE",
        "first_name": "KATIE",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016363",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KELLY",
            "middle_name": "R.",
            "credential": "LMSW-CC, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Leigh Eubanks, D.C.
• Kaitlynn Paige Eucker
• Eudaimonia Counseling and Recovery Services
• Jacklynn Piilani Eugenio
• Brandy Eurich, MASSAGE THERAPIST
• Noreen Evangelista, RBT
• Evans Army Community Hospital (Mountain Post Med Home-Carson)
• Evans Army Community Hospital
• Evans Army Community Hospital
• Evans Army Community Hospital (N/a)

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.