Individual provider Active NPI

Charlotte Stephens, LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1386407534
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0020288 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
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 0020288 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

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
I20240709004395 CO Practitioner - Mental Health Counselor 1355886813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020288COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Counseling, LLC Current Accepting new patients
Four Points Counseling Center LLC Professional PastSince Jun 28, 2024 Accepting new patients

Organizations & group practices 2

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1386407534",
    "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": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CHARLOTTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0020288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.