Individual provider Active NPI

Michelle J Stevens, MA, LPC, NCC, JD

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1104144740
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-6241 Issued in CO
Practice address
2305 E Arapahoe Rd
Suite 119
Centennial, CO 80122-1522
Phone
(303) 916-8770
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-6241 CO Primary

Addresses

Primary practice location

2305 E Arapahoe Rd
Suite 119
Centennial, CO 80122-1522

Mailing address

2305 E Arapahoe Rd
Suite 119
Centennial, CO 80122-1522
Phone (303) 916-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor, Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-6241COMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1104144740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 E ARAPAHOE RD",
            "address_2": "SUITE 119",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221522",
            "telephone_number": "303-916-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E ARAPAHOE RD",
            "address_2": "SUITE 119",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221522",
            "telephone_number": "303-916-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "credential": "MA, LPC, NCC, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-6241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.