Colleen Marie Soto, A.C.S.W.

Individual provider Active NPI Counselor · Lapeer, MT

NPI 1801123732 · NPPES record last updated Nov 13, 2009

Key facts

NPI
1801123732
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
884166455 (MI)
Practice address
608 Fox Street
Lapeer, MT 48446
Phone
(810) 538-0229
Fax
(810) 538-0231
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
884166455MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lapeer Christian Counseling, LLC Past
since Jun 30, 2019
Accepting new patients
Concepts in Counseling L.L.C. Past
since May 24, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 884166455 MI Yes

Addresses

Primary practice location

608 Fox Street
Lapeer, MT 48446

Mailing address

608 Fox Street
Lapeer, MT 48446
Phone (810) 538-0229

Sources for this page

Verify at the official NPI Registry.