Active NPI
Kelly Lee Stiteler Wecker
- Professional Counselor
- Highlands Ranch, CO
National Provider Identifier
1245759901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0017618
- Practice address
- 9135 Ridgeline Blvd Ste 160
Highlands Ranch, CO 80129-2395 - Phone
- (303) 800-6093
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC.0017618 | CO | Primary |
Addresses
Primary practice location
9135 Ridgeline Blvd Ste 160
Highlands Ranch, CO 80129-2395
Mailing address
9135 Ridgeline Blvd Ste 160
Highlands Ranch, CO 80129-2395
Phone (303) 800-6093
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0017618 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1245759901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 RIDGELINE BLVD STE 160",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292395",
"telephone_number": "303-800-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 RIDGELINE BLVD STE 160",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292395",
"telephone_number": "303-800-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKER",
"first_name": "KELLY",
"middle_name": "LEE STITELER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0017618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.