Provider Demographics
NPI:1952884090
Name:KASPER, FAITH (LMFT)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:KASPER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3472 RESEARCH PKWY STE 104 PMB#316
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1066
Mailing Address - Country:US
Mailing Address - Phone:719-401-2575
Mailing Address - Fax:
Practice Address - Street 1:2578 BROADWAY # 607
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5642
Practice Address - Country:US
Practice Address - Phone:719-401-2575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2024-01-12
Deactivation Date:2020-04-28
Deactivation Code:
Reactivation Date:2021-05-03
Provider Licenses
StateLicense IDTaxonomies
DCLMFT200001209106H00000X
COMFT.00001351106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist