Provider Demographics
NPI:1154765501
Name:TEIPEL, CHRISTOPHER B (LPC, LAT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:TEIPEL
Suffix:
Gender:M
Credentials:LPC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21511
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82003-7029
Mailing Address - Country:US
Mailing Address - Phone:307-274-4398
Mailing Address - Fax:
Practice Address - Street 1:1401 S TAFT AVE STE 206
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6962
Practice Address - Country:US
Practice Address - Phone:307-274-4398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-28
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLAT-362101YA0400X
CO0000312101YA0400X
CO0012078101YM0800X
WYLPC-1582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)