MEDICARE: MS. LANA J VSETECKA-SCHYMOS M.ED., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0003736	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0003736	OTHER	CO	DEPARTMENT OF REGULATORY AGENCY

General Provider Information

NPI Number	:	1073180402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LANA J VSETECKA-SCHYMOS M.ED., LPC

Provider Business Mailing Address
First Line	:	2058 KILLDEER CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80951-4733
Country	:	US
Telephone Number	:	719-306-4139
Fax Number	:

Provider Business Practice Location Address
First Line	:	4297 AUSTIN BLUFFS PARKWAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-8091
Country	:	US
Telephone Number	:	719-306-4139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2021
Last Update Date	:	06/04/2021

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