SCOTT KIETZER LAC/LPC NPI 1245661107

NPI Information

  • NPI: 1245661107
  • Provider Name: SCOTT KIETZER, LAC/LPC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 350 TERRY ST STE 320
    LONGMONT, CO
    ZIP 80501
  • Phone: (970) 310-3406

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NPI Details

Scott Kietzer, LAC/LPC is an addiction (substance use disorder) counselor in Longmont, CO. Scott Kietzer, LAC/LPC NPI is 1245661107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 TERRY ST STE 320
LONGMONT, CO
ZIP 80501-490
Phone: (970) 310-3406

The enumeration date for this NPI number is 12/3/2013 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)ACD.0002184COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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