BLAKELY SJOSTEDT WILLIAMS LCSW
NPI 1144845298
Counselor - Mental Health in Fort Collins, CO

Active since June 15, 2020Opted out of Medicare · through Feb 20, 2028
4119 TANAGER ST, FORT COLLINS, CO 80526(970) 308-9733 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blakely Sjostedt Williams Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKELY SJOSTEDT WILLIAMS LCSW (NPI 1144845298) is an individual mental health provider in Fort Collins, Colorado, licensed in Colorado (CSW.0009922792) and active in the NPI registry since June 2020. She has opted out of Medicare through February 20, 2028 and maintains a secondary practice location in Fort Collins.

NPPES Registry Identity

NPI1144845298
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBLAKELY SJOSTEDT WILLIAMSCredential: LCSW
Location Address4119 TANAGER STFort Collins, CO 80526-3687
Mailing Address4119 Tanager StFort Collins, CO 80526-3687 · (813) 728-7420
Sole ProprietorYes
Enumeration DateJune 15, 2020
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1144845298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CO · CSW.0009922792
Also ListedCounselorTaxonomy 101Y00000X · License LSW.0009922792 (CO)
4119 TANAGER ST, Fort Collins, CO 80526

Secondary Practice Location 1

Location 1320 W Olive StFort Collins, CO 80521-2716 · Phone (970) 308-9733

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Blakely Sjostedt Williams Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 20, 2024 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2024
Opt-Out In Effect ThroughFebruary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blakely Williams's NPI number?

The NPI number for Blakely Williams is 1144845298. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Blakely Williams located?

Blakely Williams practices at 4119 Tanager St, Fort Collins, CO 80526. The listed phone number is (970) 308-9733.

What is Blakely Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Blakely Williams enrolled in Medicare?

No. Blakely Williams has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Blakely Williams accept?

Health plans from Providence Health Plan list Blakely Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blakely Williams was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.