Healthcare Provider Details

I. General information

NPI: 1427913102
Provider Name (Legal Business Name): KARA BAICHTAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 KELLY JOHNSON BLVD STE 111
COLORADO SPRINGS CO
80920-3957
US

IV. Provider business mailing address

1580 N LOGAN ST STE 660 PMB #845545
DENVER CO
80203
US

V. Phone/Fax

Practice location:
  • Phone: 720-335-5705
  • Fax:
Mailing address:
  • Phone: 720-335-5705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014911
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: