Healthcare Provider Details

I. General information

NPI: 1780514547
Provider Name (Legal Business Name): IAN KLOSS LPC, LCMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 ZILLICOA ST
ASHEVILLE NC
28801-1079
US

IV. Provider business mailing address

91 GREYMONT LN APT 304
ASHEVILLE NC
28806-0270
US

V. Phone/Fax

Practice location:
  • Phone: 828-250-9494
  • Fax: 828-250-0890
Mailing address:
  • Phone: 864-420-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number22742
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10995
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: