Individual provider Active NPI

Rebecca K Stevens, MA, LMFT, LAC, MAC

  • Marriage & Family Therapist
  • Aurora, CO
National Provider Identifier
1306333620
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0001645 Issued in CO
Practice address
791 Chambers Rd
Aurora, CO 80011-7112
Phone
(303) 617-2300
Fax
(303) 617-2344
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0001645 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000830 CO

Addresses

Primary practice location

791 Chambers Rd
Aurora, CO 80011-7112

Mailing address

1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300

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
I20240718000643 CO Practitioner - Marriage and Family Therapist 2264978972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Primary Care Clinic IncGroup PAC ID 3173655032, 5 clinicians

Practice addresses (Care Compare)

14991 E Hampden Ave
Suite 110
Aurora, CO 80014-3980
Phone (303) 343-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ACD.0000830COMDAddiction (Substance Use Disorder) Counselor
MFT.0001645COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Primary Care Clinic Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

14991 E Hampden Ave
Ste 110
Aurora, CO 80014
Phone (303) 343-9500

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1306333620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117117",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117112",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "REBECCA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT, LAC, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001645",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.