Individual provider Active NPI

Heather Leigh Autterson-Kniss, LPC

  • Mental Health Counselor
  • Broomfield, CO
National Provider Identifier
1730731373
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015231 Issued in CO
Practice address
80 Garden Ctr Ste 28
Broomfield, CO 80020-2621
Phone
(720) 446-8367
NPI assigned
Jul 14, 2019
Last updated
Jul 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0015231 CO Primary

Addresses

Primary practice location

80 Garden Ctr Ste 28
Broomfield, CO 80020-2621

Mailing address

80 Garden Ctr Ste 28
Broomfield, CO 80020-2621
Phone (720) 446-8367

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.keelcounseling.com Direct

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

LicenseStateTypeSpecialty
LPC.0015231COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1730731373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 28",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202621",
            "telephone_number": "720-446-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 28",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202621",
            "telephone_number": "720-446-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTTERSON-KNISS",
        "first_name": "HEATHER",
        "middle_name": "LEIGH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.keelcounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "80 Garden Ctr Ste 28",
            "city": "Broomfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800202621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; 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.