Individual provider Active NPI

Lauren Boe Stanley, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1184972291
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924274 Issued in CO
Practice address
1221 E Elizabeth St Ste 3
Fort Collins, CO 80524-4066
Phone
(970) 682-1337
Fax
(855) 461-3393
NPI assigned
Aug 21, 2012
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 56538 TX
Clinical Social Worker 1041C0700X 09924274 CO Primary

Addresses

Primary practice location

1221 E Elizabeth St Ste 3
Fort Collins, CO 80524-4066

Mailing address

1221 E Elizabeth St Ste 3
Fort Collins, CO 80524-4066
Phone (970) 682-1337

Other practice location 1

4190 N Garfield Ave Ste 1
Loveland, CO 80538-2246
Phone (970) 682-1337

Other names 1

  • Ms. Lauren Mary Boe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331000688 CO Practitioner - Clinical Social Worker 0840504056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1221 E Elizabeth St
Suite 3
Fort Collins, CO 80524-4066
Phone (970) 682-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09924274COMDClinical Social Worker
56538TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Points Counseling Center LLC Clinical CurrentSince Sep 1, 2021 Accepting new patients
Four Points Counseling Center LLC Clinical CurrentSince Aug 8, 2021 Accepting new patients
Four Points Counseling Center LLC Clinical Past Accepting new patients

Locations

1221 E Elizabeth St
Ste 3
Fort Collins, CO 80524
Phone (970) 682-1337

4190 N Garfield Ave
Ste 1
Loveland, CO 80538
Phone (970) 235-0171

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1184972291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E ELIZABETH ST STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244066",
            "telephone_number": "970-682-1337",
            "fax_number": "855-461-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E ELIZABETH ST STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244066",
            "telephone_number": "970-682-1337",
            "fax_number": "855-461-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 N Garfield Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382246",
            "country_code": "US",
            "telephone_number": "970-682-1337",
            "fax_number": "855-461-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "LAUREN",
        "middle_name": "BOE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "56538",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BOE",
            "middle_name": "MARY",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.