MEDICARE: ROBYN STAIL LPCC

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	101YM0800X	Mental Health Counselor	LPCC.0024031	CO

General Provider Information

NPI Number	:	1215804406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN STAIL LPCC

Provider Business Mailing Address
First Line	:	1500 N GRANT ST STE R
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	248-881-9785
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 MOUNT VIEW LN APT 1
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4728
Country	:	US
Telephone Number	:	248-881-9785
Fax Number	:

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

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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