Debra Paulison, CAC11

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0007628 Issued in CO

Practice address

1612 Lakeshore Dr
Fort Collins, CO 80525-2421

Phone

(970) 308-5184

NPI assigned

Nov 26, 2013

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1699105783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 LAKESHORE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252421",
            "telephone_number": "970-308-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 LAKESHORE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252421",
            "telephone_number": "970-308-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULISON",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "CAC11",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0007628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Paul
• Jessie James Pauley, PSYD, LP, CMPC
• Sarah Pauley, M.D., PH.D.
• Jeff Paulez, PHD
• Erin Pauling
• Stephen Pauly, D.D.S.
• Sean T Pauzauskie, MD
• Rostislav Pavlik, M.D.
• Christian Payant
• Ellie M Payant, MSW

• Addiction (Substance Use Disorder) Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.