Active NPI
Jeanette E Klausmeier, NLC
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1447011705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- NLC.0110320
- Practice address
- 11760 Black Maple Lane
Colorado Springs, CO 80921-8092 - Phone
- (719) 237-9662
- NPI assigned
- Jan 23, 2024
- Last updated
- Jan 23, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | NLC.0110320 | CO | Primary |
Addresses
Primary practice location
11760 Black Maple Lane
Colorado Springs, CO 80921-8092
Mailing address
11760 Black Maple Lane
Colorado Springs, CO 80921
Phone (719) 237-9662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0110320 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1447011705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 BLACK MAPLE LANE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80921",
"telephone_number": "719-237-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 BLACK MAPLE LANE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809218092",
"telephone_number": "719-237-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAUSMEIER",
"first_name": "JEANETTE",
"middle_name": "E",
"credential": "NLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "NLC.0110320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.