MEDICARE: MRS. VICTORIA STORM MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPCC.0024438	CO

General Provider Information

NPI Number	:	1023976495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICTORIA STORM MS

Provider Business Mailing Address
First Line	:	4856 INNOVATION DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5539
Country	:	US
Telephone Number	:	970-494-4200
Fax Number	:	844-270-1824

Provider Business Practice Location Address
First Line	:	1008 PATTON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4018
Country	:	US
Telephone Number	:	970-494-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	03/20/2026

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