Individual provider Active NPI

Colby Stoller

  • Counselor
  • Junction City, KS
National Provider Identifier
1831828466
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
04067-T Issued in KS
Practice address
323 E Chestnut St
Junction City, KS 66441-9466
Phone
(785) 560-3101
Fax
(785) 527-8271
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 04067-T KS Primary

Addresses

Primary practice location

323 E Chestnut St
Junction City, KS 66441-9466

Mailing address

1913 M St
Belleville, KS 66935-2238
Phone (785) 527-8271

Other identifiers 2

IdentifierTypeStateIssuer
201202520DMedicaidKS
82-3836790OtherKSTAX-ID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.courserlapo.com Courser Lapo Inc

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04067-TKSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Therapy Associates LLC Past Accepting new patients
Courser Lapo Inc Counselor PastSince Jun 12, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1831828466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 M ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352238",
            "telephone_number": "785-527-8271",
            "fax_number": "785-527-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E CHESTNUT ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664419466",
            "telephone_number": "785-560-3101",
            "fax_number": "785-527-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "COLBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "04067-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201202520D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "82-3836790",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.courserlapo.com",
            "affiliation": "Y",
            "affiliationName": "Courser Lapo Inc",
            "address_1": "323 E Chestnut St",
            "city": "Junction City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "664419466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.