Provider Demographics
NPI:1972762672
Name:KAIP, BRITTANY D (MFTC 0014042)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:D
Last Name:KAIP
Suffix:
Gender:F
Credentials:MFTC 0014042
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5155 LAREDO RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2222
Mailing Address - Country:US
Mailing Address - Phone:719-688-2201
Mailing Address - Fax:
Practice Address - Street 1:2035 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1505
Practice Address - Country:US
Practice Address - Phone:719-688-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014042101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04140091Medicaid