Individual provider Active NPI

Katrin Segeletz, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1922756899
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0018102 Issued in CO
Practice address
525 N Nevada Ave Ste 101
Colorado Springs, CO 80903-1156
Phone
(719) 308-4266
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 LPC0018102 CO Primary

Addresses

Primary practice location

525 N Nevada Ave Ste 101
Colorado Springs, CO 80903-1156

Mailing address

3850 Sedgewood Way
Colorado Springs, CO 80918-6371
Phone (719) 308-1257

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL ksegeletz@positiveshiftpt.com Health Information Exchange (HIE)
CONNECT URL ksegeletz@positiveshiftpf.com Health Information Exchange (HIE)

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
LPC0018102COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Shift Psychotherapy LLC Mental Health CurrentSince Mar 13, 2022 Accepting new patients

Locations

525 N Nevada Ave
Ste 101
Colorado Springs, CO 80903
Phone (719) 308-4266

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1922756899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SEDGEWOOD WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186371",
            "telephone_number": "719-308-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N NEVADA AVE STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031156",
            "telephone_number": "719-308-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGELETZ",
        "first_name": "KATRIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC0018102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ksegeletz@positiveshiftpt.com",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 N Nevada Ave Ste 101",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809031156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ksegeletz@positiveshiftpf.com",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 N Nevada Ave Ste 101",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809031156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 10, 2022; 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.