Provider Demographics
NPI:1124476239
Name:WEILER, KARI LYNN (LMFT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:WEILER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LYNN GRINAGER
Other - Last Name:KOPPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2809 ANNELISE WAY
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-7628
Mailing Address - Country:US
Mailing Address - Phone:303-909-0177
Mailing Address - Fax:
Practice Address - Street 1:333 W DRAKE RD STE 141
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6319
Practice Address - Country:US
Practice Address - Phone:303-909-0177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1958106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO811210543OtherEIN NUMBER