Healthcare Provider Details

I. General information

NPI: 1043129653
Provider Name (Legal Business Name): KATIE BELTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11395 NAHCOLITE PT APT 202
COLORADO SPRINGS CO
80921-4258
US

IV. Provider business mailing address

11395 NAHCOLITE PT APT 202
COLORADO SPRINGS CO
80921-4258
US

V. Phone/Fax

Practice location:
  • Phone: 719-337-3539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0025169
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: