MEDICARE: POSITIVE SHIFT PSYCHOTHERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841143153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE SHIFT PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	525 N NEVADA AVE STE 101
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 N NEVADA AVE STE 101
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1156
Country	:	US
Telephone Number	:	719-308-4266
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATRIN SEGELETZ
Credential	:	LPC
Telephone Number	:	719-308-4266

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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