Organization Active NPI

Julie L Wilson LLC

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1962029645
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JULIE L WILSON LLC
Practice address
225 E Cheyenne Mountain Blvd Ste 100a
Colorado Springs, CO 80906-3700
Phone
(719) 493-8843
NPI assigned
Jun 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Julie L Wilson, LMFT
Title
Sole Owner
Phone
(719) 493-8843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

225 E Cheyenne Mountain Blvd Ste 100a
Colorado Springs, CO 80906-3700

Mailing address

225 E Cheyenne Mountain Blvd Ste 100a
Colorado Springs, CO 80906-3700
Phone (719) 493-8843

Other names 1

  • The Piper Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724001662 CO Part B Supplier - Clinic/Group Practice 3072973999 Receives reassigned benefits from 3 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Julie L Wilson LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 E Cheyenne Mountain Blvd
Ste 100A
Colorado Springs, CO 80906
Phone (719) 493-8843

2130 Academy Cir
Ste E
Colorado Springs, CO 80909
Phone (719) 459-2097

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1962029645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHEYENNE MOUNTAIN BLVD STE 100A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063700",
            "telephone_number": "719-493-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHEYENNE MOUNTAIN BLVD STE 100A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063700",
            "telephone_number": "719-493-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE L WILSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "719-493-8843",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Piper Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.