Individual provider Active NPI

Raizel Heitzer, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1467996934
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015253 Issued in MI
Practice address
2210 E la Salle St Ste 207
Colorado Springs, CO 80909-2358
Phone
(719) 301-0136
NPI assigned
Dec 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CO0005374 CO
Professional Counselor 101YP2500X 6401015253 MI Primary

Addresses

Primary practice location

2210 E la Salle St Ste 207
Colorado Springs, CO 80909-2358

Mailing address

1327 E Parkway Dr
Colorado Springs, CO 80905-7393
Phone (720) 320-4114

Other practice location 1

719 5th St
Ann Arbor, MI 48103-4842
Phone (719) 301-0136

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CO0005374COMDProfessional Counselor
6401015253MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1467996934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E PARKWAY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057393",
            "telephone_number": "720-320-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E LA SALLE ST STE 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092358",
            "telephone_number": "719-301-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 5th St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034842",
            "country_code": "US",
            "telephone_number": "719-301-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEITZER",
        "first_name": "RAIZEL",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "CO0005374",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015253",
            "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 Aug 21, 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.

Verify at the official NPI Registry.