MEDICARE: KAYLA ENGEL MS, LPC, NCC

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	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor	LPC.0011881	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457675696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA ENGEL MS, LPC, NCC

Provider Business Mailing Address
First Line	:	2140 ACADEMY CIR STE C-1
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1690
Country	:	US
Telephone Number	:	719-287-8341
Fax Number	:	719-960-7626

Provider Business Practice Location Address
First Line	:	2140 ACADEMY CIR STE C-1
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1690
Country	:	US
Telephone Number	:	719-287-8341
Fax Number	:	719-960-7626

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

Provider Enumeration Date	:	03/17/2010
Last Update Date	:	10/18/2019

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