Healthcare Provider Details

I. General information

NPI: 1801013198
Provider Name (Legal Business Name): KATHERINE FIELDS GLIST M.A., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KATHERINE MARIE FIELDS

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11027 S PIKES PEAK DR STE 202
PARKER CO
80138-7362
US

IV. Provider business mailing address

11027 S PIKES PEAK DR STE 202
PARKER CO
80138-7362
US

V. Phone/Fax

Practice location:
  • Phone: 720-507-6455
  • Fax:
Mailing address:
  • Phone: 720-507-6455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0005453
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: