Steven Willson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6660 Delmonico Dr # E215
Colorado Springs, CO 80919-1899

Phone

(719) 377-0421

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fellow Travelers LLC

  • Counselor
  • Colorado Springs, CO
  • NPI 1114752995
  Medicare reassignment NPD Authorized official
• Fellow Travelers LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1831019389
  NPD (past) Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1871199158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 RUFFINO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213875",
            "telephone_number": "303-551-3863",
            "fax_number": "719-960-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 DELMONICO DR # E215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191899",
            "telephone_number": "719-377-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936956",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.reliatarx.colorado-motion.com",
            "affiliation": "N",
            "endpointDescription": "EMR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4570 Hilton Pkwy",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809073551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willow Crest, Inc.
• Willow Crest, Inc.
• Willows Counseling LLC
• Willows Counseling LLC
• Jenna Willsey
• Janet Rae Wilson-Armstrong, NNP
• Aimee E Wilson, PT
• Amber Wilson
• Ashleigh Wilson
• Ashley Elizabeth Wilson, DENTAL HYGIENIST

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.