Healthcare Provider Details

I. General information

NPI: 1669306676
Provider Name (Legal Business Name): KRISSY THOMAS SMITH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 N ACADEMY BLVD STE 160
COLORADO SPRINGS CO
80917-5155
US

IV. Provider business mailing address

3208 N ACADEMY BLVD STE 160
COLORADO SPRINGS CO
80917-5155
US

V. Phone/Fax

Practice location:
  • Phone: 719-313-9097
  • Fax:
Mailing address:
  • Phone: 719-313-9097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC0023894
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: