MEDICARE: KARL NITZ COUNSELING AND MENTAL TOUGHNESS TRAINING

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	1041C0700X	Clinical Social Worker	2528	KS

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	:	1588182752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARL NITZ COUNSELING AND MENTAL TOUGHNESS TRAINING

Provider Business Mailing Address
First Line	:	549 S 8TH ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4120
Country	:	US
Telephone Number	:	785-829-3154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E IRON AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-3401
Country	:	US
Telephone Number	:	785-829-3154
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KARL CHRISTIAN NITZ
Credential	:	LSCSW
Telephone Number	:	785-829-3154

Provider Enumeration Date	:	09/07/2017
Last Update Date	:	10/23/2017

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