Active NPI
Charles William Stevens, LPC, LAC, MFTC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1578040192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0018241
- Practice address
- 10 Boulder Crescent St Ste 101B
Colorado Springs, CO 80903-3344 - Phone
- (719) 387-1486
- NPI assigned
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001849 | ||
| Mental Health Counselor | 101YM0800X | MFTC.0013817 | CO | |
| Professional Counselor | 101YP2500X | LPC.0018241 | CO | Primary |
Addresses
Primary practice location
10 Boulder Crescent St Ste 101B
Colorado Springs, CO 80903-3344
Mailing address
10 Boulder Crescent St Ste 101B
Colorado Springs, CO 80903-3344
Phone (719) 387-1486
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 |
|---|---|---|---|
| MFTC.0013817 | CO | MD | Mental Health Counselor |
| LPC.0018241 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearts of Hope Counseling, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Professional Counselor
- Colorado Springs, CO
- NPI 1477290807
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1578040192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BOULDER CRESCENT ST STE 101B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033344",
"telephone_number": "719-387-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BOULDER CRESCENT ST STE 101B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033344",
"telephone_number": "719-387-1486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"credential": "LPC, LAC, MFTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2022-05-18",
"certification_date": "2022-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "ACD.0001849",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "MFTC.0013817",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0018241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.