Active NPI
Charlotte Stephens, LPC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1386407534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0020288
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240709004395 | CO | Practitioner - Mental Health Counselor | 1355886813 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020288 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Pathways Counseling, LLC | Current | Accepting new patients | |
| Four Points Counseling Center LLC | Professional | Past | 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.
-
- Mental Health Counselor
- Fort Collins, CO
- NPI 1629883103
-
- Professional Counselor
- Fort Collins, CO
- NPI 1407429350
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.