Healthcare Provider Details

I. General information

NPI: 1205790409
Provider Name (Legal Business Name): KATHERINE WIEGMAN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE WIEGMAN LPCC

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 TURNPIKE DR STE 400
WESTMINSTER CO
80031-7033
US

IV. Provider business mailing address

1500 N GRANT ST STE R
DENVER CO
80203-1747
US

V. Phone/Fax

Practice location:
  • Phone: 425-640-7009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0023969
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: