MEDICARE: BIRGIT HOYT-KIECKHABEN 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	LPC.0022282	CO

General Provider Information

NPI Number	:	1710572797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIRGIT HOYT-KIECKHABEN LPC

Provider Business Mailing Address
First Line	:	10505 THOMAS RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-6302
Country	:	US
Telephone Number	:	719-330-8251
Fax Number	:

Provider Business Practice Location Address
First Line	:	10505 THOMAS RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-6302
Country	:	US
Telephone Number	:	719-330-8251
Fax Number	:

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

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	12/26/2025

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