Kim Ann Soltysiak, lpc
Counselor, Professional in Columbia, IL. Individual provider (NPI-1).
NPI number1003996331
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1003996331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kim Ann Soltysiak
- Credential
- lpc
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 002400 | MO | Yes |
Practice location
2637 Kory DrColumbia, IL 62236-2654
Phone 314-960-0632 · Fax 618-281-8127
Mailing address
7700 Clayton RdSuite 208
Saint Louis, MO 63117-1328
Phone 314-960-0632 · Fax 618-281-8127
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