Individual provider Active NPI

Victoria Williams, MS, LPCC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1710505896
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018386 Issued in CO
Practice address
5475 Mark Dabling Blvd Ste 100
Colorado Springs, CO 80918-3847
Phone
(719) 257-7199
NPI assigned
Jul 6, 2020
Last updated
Jul 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0018386 CO Primary
Clinical Social Worker 1041C0700X LPCC.0017530 CO

Addresses

Primary practice location

5475 Mark Dabling Blvd Ste 100
Colorado Springs, CO 80918-3847

Mailing address

7390 Windy Peak Dr
Colorado Springs, CO 80911-8313
Phone (520) 895-9040

Other names 1

  • Victoria McNary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC.0018386COMDProfessional Counselor
LPCC.0017530COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Creek Wellness LLC Clinical Current Accepting new patients

Locations

422 E Vermijo Ave
Ste 206
Colorado Springs, CO 80903
Phone (719) 358-1721

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1710505896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 WINDY PEAK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809118313",
            "telephone_number": "520-895-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 MARK DABLING BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183847",
            "telephone_number": "719-257-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICTORIA",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018386",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LPCC.0017530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MCNARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.