Provider Demographics
NPI:1215460225
Name:BARNETT, STEPHANIE (LPC, ADC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LPC, ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10758 W 68TH WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-1412
Mailing Address - Country:US
Mailing Address - Phone:720-917-4925
Mailing Address - Fax:
Practice Address - Street 1:12191 W 64TH AVE STE 109
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4030
Practice Address - Country:US
Practice Address - Phone:720-917-4925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001115101YA0400X
COLPCC.0015070101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)