Active NPI
Nathan Philip Klotz, LPC
- Professional Counselor
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0022874
- Practice address
- 220 Ruskin Dr
Colorado Springs, CO 80910-2522 - Phone
- (719) 572-6100
- NPI assigned
- Sep 23, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0022874 | CO | Primary |
Addresses
Primary practice location
220 Ruskin Dr
Colorado Springs, CO 80910-2522
Mailing address
1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Phone (719) 572-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251014004167 | CO | Practitioner - Mental Health Counselor | 5193212025 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
220 Ruskin Dr
Colorado Springs, CO 80910-2522
675 Southpointe CT
Suite 203
Colorado Springs, CO 80906-3886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversus Health Inc | Current | Accepting new patients | |
| Diversus Health Inc | Current | Accepting new patients | |
| Diversus Health Inc | Current | Accepting new patients |
Locations
1795 Jet Wing Dr
Colorado Springs, CO 80916
Phone (719) 572-6111
6208 Lehman Dr
Colorado Springs, CO 80918
Phone (719) 572-6133
220 Ruskin Dr
Colorado Springs, CO 80910
Phone (719) 572-6150
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1043260243
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1295269561
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Colorado Springs, CO
- NPI 1528603008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1497627970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 JET WING DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162332",
"telephone_number": "719-572-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RUSKIN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809102522",
"telephone_number": "719-572-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZ",
"first_name": "NATHAN",
"middle_name": "PHILIP",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0022874",
"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 Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.