Stephany Rodriguez-Moreno, LPCC, ADDC
Individual provider Active NPI Counselor · Alamosa, CO
NPI 1598568339 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1598568339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LPCC.0022689 (CO)
- Practice address
- 2017 Lava LN
Alamosa, CO 81101-3578 - Phone
- (970) 964-2763
- NPI assigned
- Mar 28, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0022689 | CO | MD | Counselor |
| ADDC.0000562 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Treatment Centers Inc | Current |
Accepting new patients | |
| Advantage Treatment Centers, Inc. | Past |
Accepting new patients |
Locations
2017 Lava Ln
Alamosa, CO 81101
Phone (719) 589-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADDC.0000562 | CO | |
| Counselor | 101Y00000X | LPCC.0022689 | CO | Yes |
Addresses
Primary practice location
2017 Lava LN
Alamosa, CO 81101-3578
Mailing address
2017 Lava LN
Alamosa, CO 81101-3578
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.