Active NPI
Stephanie Roberts, LPC
- Professional Counselor
- Boulder, CO
National Provider Identifier
1386969095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1699
- Practice address
- 4141 Arapahoe Ave Ste 207
Boulder, CO 80303-1032 - Phone
- (303) 910-2158
- NPI assigned
- Apr 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5255 | CO | |
| Professional Counselor | 101YP2500X | 1699 | CO | Primary |
Addresses
Primary practice location
4141 Arapahoe Ave Ste 207
Boulder, CO 80303-1032
Mailing address
3266 Cripple Creek TRL
Boulder, CO 80305-7195
Phone (303) 910-2158
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 |
|---|---|---|---|
| 5255 | CO | MD | Mental Health Counselor |
| 1699 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1386969095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3266 CRIPPLE CREEK TRL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803057195",
"telephone_number": "303-910-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 ARAPAHOE AVE STE 207",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031032",
"telephone_number": "303-910-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STEPHANIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "5255",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "1699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.