Healthcare Provider Details

I. General information

NPI: 1578406690
Provider Name (Legal Business Name): MEGAN KREITZBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E BASELINE RD
LAFAYETTE CO
80026-2404
US

IV. Provider business mailing address

13451 CASCADE ST
BROOMFIELD CO
80020-6504
US

V. Phone/Fax

Practice location:
  • Phone: 303-917-9144
  • Fax:
Mailing address:
  • Phone: 303-351-1680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024139
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: