Wallis Marlen Luis, MFTC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0000981 Issued in CO

Practice address

12101 E 2ND Ave Ste 100
Aurora, CO 80011-8328

Phone

(720) 810-4063

Fax

(303) 364-3932

NPI assigned

Jun 16, 2015

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

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

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.

• E Dawn Martin Caciii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1396235511
  Medicare reassignment NPD
• E Dawn Martin Caciii LLC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1205326428
  NPD (past)
• E Dawn Martin Caciii LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1356063556
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1902287808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 ROYAL TROON DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801045245",
            "telephone_number": "786-417-5379",
            "fax_number": "786-600-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E 2ND AVE STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118328",
            "telephone_number": "720-810-4063",
            "fax_number": "303-364-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS",
        "first_name": "WALLIS",
        "middle_name": "MARLEN",
        "credential": "MFTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Ludwig
• Jamie Neiman Luehring, PHD
• Mathew Luehring, PHD
• Erin Taylor Lueth, MD
• Matthew R Lugliani, MD
• Lizeth Lujan Munoz, AGNP-C
• Diana Lujan, MD
• Tara M. Lujan, M.A., CCC-SLP
• Sarah Byrd Call Lukanski
• Cynthia Dee Anne Luke, RN, FNP-C

• Addiction (Substance Use Disorder) Counselor in Aurora, CO
• Providers in Aurora, 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 Oct 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.