Provider Demographics
NPI:1689130221
Name:KRUMSIEG, NATHAN (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:KRUMSIEG
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 W MINERAL AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-2626
Mailing Address - Country:US
Mailing Address - Phone:618-514-9532
Mailing Address - Fax:
Practice Address - Street 1:16965 PINE LN STE 103
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-6517
Practice Address - Country:US
Practice Address - Phone:720-842-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0016538101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health