Healthcare Provider Details

I. General information

NPI: 1538095005
Provider Name (Legal Business Name): STEPHANIE KONTER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6343 W 120TH AVE STE 200
BROOMFIELD CO
80020-3701
US

IV. Provider business mailing address

6343 W 120TH AVE STE 200
BROOMFIELD CO
80020-3701
US

V. Phone/Fax

Practice location:
  • Phone: 720-380-3564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE KONTER-O'HARA
Title or Position: OWNER
Credential:
Phone: 720-380-3564