MEDICARE: DR. NATALIE STEMATI PSY.D., LPC

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	LPC.0016687	CO
2	101YP2500X	Professional Counselor	LPC.0016687	CO
3	103TC0700X	Clinical Psychologist	PSY.0005962	CO

General Provider Information

NPI Number	:	1316529662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE STEMATI PSY.D., LPC

Provider Business Mailing Address
First Line	:	4251 KIPLING ST UNIT 310
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-2898
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4251 KIPLING ST UNIT 310
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-2898
Country	:	US
Telephone Number	:	303-731-6103
Fax Number	:

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

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	10/28/2024

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