Stephanie Williams, LPC, LAC
Individual provider Active NPI Professional Counselor · Timnath, CO
NPI 1962830620 · NPPES record last updated Jun 14, 2024
Key facts
- NPI
- 1962830620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 12397 (CO)
- Practice address
- 4796 Champlain Dr
Timnath, CO 80547-5845 - Phone
- (720) 645-3373
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 12397 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12397 | CO | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 742 | CO |
Addresses
Primary practice location
4796 Champlain Dr
Timnath, CO 80547-5845
Mailing address
4796 Champlain Dr
Timnath, CO 80547-5845
Phone (720) 645-3373
Other names
- Stephanie Booco
Other providers in Timnath, CO
- Karla Rae Ver Meer
- Wal-Mart Stores, Inc.
- Walmart Inc.
- Bonnie Westermann
- Sarah Wild
- Wyco Derm LLC
- Karly Yingst
- Todd Kenneth Zuber
- Zzap Pediatrics, LLC
All providers in Timnath, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.