Courtney Dewar
Individual provider Active NPI Professional Counselor · Lafayette, CO
NPI 1639629793 · NPPES record last updated Jun 9, 2023
Key facts
- NPI
- 1639629793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPCC.0015215 (CO)
- Practice address
- 1455 Dixon Ave
Lafayette, CO 80026-8879 - Phone
- (303) 443-8500
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231216000180 | CO | Practitioner - Mental Health Counselor | 7719336619 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0015215 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Current |
Accepting new patients | |
| Clinica Campesina Family Health Services | Current |
Accepting new patients | |
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Past |
Accepting new patients |
Locations
1000 Alpine Ave
Boulder, CO 80304
Phone (303) 332-1250
975 North St
Boulder, CO 80304
Phone (303) 440-7941
3180 Airport Rd
Boulder, CO 80301
Phone (303) 378-6668
1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061
1455 Dixon Ave
Ste 300
Lafayette, CO 80026
Phone (303) 604-4244
1455 Dixon Ave
Lafayette, CO 80026
Phone (720) 406-3604
1735 S Public Rd
Ste 203
Lafayette, CO 80026
834 S Sherman St
Longmont, CO 80501
Phone (303) 247-8700
515 Coffman St
Longmont, CO 80501
Phone (303) 409-0132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | LPCC.0015215 | CO | Yes |
Addresses
Primary practice location
1455 Dixon Ave
Lafayette, CO 80026-8879
Mailing address
529 Coffman St
Longmont, CO 80501-5450
Phone (847) 913-6050
Other practice location 1
5250 Leetsdale Dr
Suite 220
Denver, CO 80246-1438
Phone (303) 629-5293
Other providers in Lafayette, CO
- Developmental Disabilities Center
- Developmental Disabilities Center
- Samantha Devilbiss
- Lisa M Devore
- Sydney Devoss
- Elizabeth A Deyoung
- Andria Dial
- Amy Diamond
- Juanita Margarita Diaz
- Arthur J Dichard
All providers in Lafayette, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.