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MANDY J KAISNER LPC NPI 1396877692


NPI Information

NPI: 1396877692
Provider Name: MANDY J KAISNER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
714 FRONT ST
LEADVILLE, CO
ZIP 80461
Phone: (719) 486-0985
Get Directions

Mandy J Kaisner, LPC is a professional counselor in Leadville, CO. Mandy J Kaisner, LPC NPI is 1396877692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

714 FRONT ST
LEADVILLE, CO
ZIP 80461-921
Phone: (719) 486-0985
Fax: (719) 486-0986

The enumeration date for this NPI number is 3/12/2007 and was last updated on 4/4/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional5826COLORADONo
2103T00000XPsychologistNo
3101YP2500XCounselorProfessional5826Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
193336535MEDICARE UPIN

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: 4/28/2024

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