Provider Demographics
NPI:1083663660
Name:SIEBER, HANS J (MC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:J
Last Name:SIEBER
Suffix:
Gender:M
Credentials:MC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5181 WARD RD UNIT 206
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-1925
Mailing Address - Country:US
Mailing Address - Phone:720-315-0123
Mailing Address - Fax:844-211-0555
Practice Address - Street 1:5738 OLDE WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2535
Practice Address - Country:US
Practice Address - Phone:720-315-0123
Practice Address - Fax:303-278-2490
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5706101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26930277Medicaid