Healthcare Provider Details

I. General information

NPI: 1760329056
Provider Name (Legal Business Name): MADELINE STODDARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5554 S PRINCE ST
LITTLETON CO
80120-1149
US

IV. Provider business mailing address

19750 E PARKER SQUARE DR STE 105
PARKER CO
80134-7302
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-8858
  • Fax:
Mailing address:
  • Phone: 720-340-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023791
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: