Individual provider Active NPI

Karen Elizabeth Wills, MA NCC LPC

  • Professional Counselor
  • Glenwood Springs, CO
National Provider Identifier
1285895300
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5604 Issued in CO
Practice address
817 Colorado Ave
Glenwood Springs, CO 81601-3349
Phone
(970) 620-7220
Fax
(877) 755-9128
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2131 TN
Professional Counselor 101YP2500X 5604 CO Primary

Addresses

Primary practice location

817 Colorado Ave
Glenwood Springs, CO 81601-3349

Mailing address

817 Colorado Ave
Suite 103
Glenwood Springs, CO 81601-3349
Phone (970) 620-7220

Other identifiers 2

IdentifierTypeStateIssuer
5604OtherCOLICENSED PROFESSIONAL COUNSELOR
219479OtherNATIONAL CERTIFIED COUNSELOR

Other names 1

  • Karen Elizabeth Wills Professional name

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
2131TNMDProfessional Counselor
5604COMDAcute Care Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1285895300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COLORADO AVE",
            "address_2": "SUITE 103",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013349",
            "telephone_number": "970-620-7220",
            "fax_number": "877-755-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COLORADO AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013349",
            "telephone_number": "970-620-7220",
            "fax_number": "877-755-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "MA NCC LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "5604",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED COUNSELOR",
            "identifier": "219479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WILLS",
            "middle_name": "ELIZABETH",
            "credential": "MA NCC LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.