Healthcare Provider Details

I. General information

NPI: 1316967706
Provider Name (Legal Business Name): JOAN MARIE LEWIS LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E MONUMENT ST
COLORADO SPRINGS CO
80903-1004
US

IV. Provider business mailing address

212 E MONUMENT ST
COLORADO SPRINGS CO
80903-1004
US

V. Phone/Fax

Practice location:
  • Phone: 719-447-0370
  • Fax: 719-447-0371
Mailing address:
  • Phone: 719-447-0370
  • Fax: 719-447-0371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0003663
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0000089
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: