KATHRYN KONICEK LCSW
NPI 1689265639
Counselor - Mental Health in Canon City, CO

Active since February 02, 2021PECOS Enrolled
702 PINE AVE, CANON CITY, CO 81212(307) 231-4744 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Konicek Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN KONICEK LCSW (NPI 1689265639) is an individual mental health provider in Canon City, Colorado and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689265639
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN KONICEKCredential: LCSW
Location Address702 PINE AVECanon City, CO 81212-3139
Mailing Address702 Pine AveCanon City, CO 81212-3139 · (307) 231-4744
Sole ProprietorNo
Enumeration DateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1689265639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
702 PINE AVE, Canon City, CO 81212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn Konicek Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Konicek's NPI number?

The NPI number for Kathryn Konicek is 1689265639. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Kathryn Konicek located?

Kathryn Konicek practices at 702 Pine Ave, Canon City, CO 81212. The listed phone number is (307) 231-4744.

What is Kathryn Konicek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathryn Konicek enrolled in Medicare?

Yes. Kathryn Konicek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Konicek was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.