MEDICARE: KIRSTIN MARIE LIEBEZEIT-PAUL 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
2	103T00000X	Psychologist	2518	NC
3	101YP2500X	Professional Counselor	12606	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	046H1	OTHER	NC	BCBS
2	12606	OTHER	CO	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912098245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTIN MARIE LIEBEZEIT-PAUL LPC

Provider Business Mailing Address
First Line	:	155 INVERNESS DR W
Second Line	:	SUITE 200
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5095
Country	:	US
Telephone Number	:	303-730-8858
Fax Number	:

Provider Business Practice Location Address
First Line	:	6509 S SANTA FE DR
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-2910
Country	:	US
Telephone Number	:	303-730-8858
Fax Number	:

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	10/31/2023

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