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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUDSON WILLIS LPC
NPI 1669360095
Counselor - Professional in Colorado Springs, CO

Active since June 25, 2025PECOS Enrolled
140 S PARKSIDE DR, COLORADO SPRINGS, CO 80910(719) 358-7338 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jun 26, 2025 (2 updates tracked since 2025).

About Judson Willis Lpc NPPES

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

JUDSON WILLIS LPC (NPI 1669360095) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0022027) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669360095
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUDSON WILLISCredential: LPC
Location Address140 S PARKSIDE DRColorado Springs, CO 80910-3129
Mailing Address4286 Gunbarrel DrColorado Springs, CO 80925-1005 · (478) 334-8467
Phone(719) 358-7338
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2025
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1669360095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0022027
140 S PARKSIDE DR, Colorado Springs, CO 80910
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judson Willis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284135633
PECOS Enrollment IDI20250828002174
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELIZABETH DAWN MARTIN CACIII
Counselor (Addiction (Substance Use Disorder))
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 358-7338
CATHERINE EWERT MA, LPC, ADDC, NCC
Counselor (Professional)
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 358-7338
E DAWN MARTIN CACIII LLC
Clinic/Center (Primary Care)
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 358-7338
E DAWN MARTIN CACIII LLC
Community/Behavioral Health
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 358-7338
E DAWN MARTIN CACIII LLC
Community/Behavioral Health
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 358-7338
E DAWN MARTIN CACIII LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 358-7338
LEAH AGEE LPC
Counselor (Professional)
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 388-3778
DONNIE FENNIMORE CAS
Counselor (Addiction (Substance Use Disorder))
140 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 358-7338

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 Judson Willis's NPI number?

The NPI number for Judson Willis is 1669360095. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Judson Willis located?

Judson Willis practices at 140 S Parkside Dr, Colorado Springs, CO 80910. The listed phone number is (719) 358-7338.

What is Judson Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Judson Willis enrolled in Medicare?

Yes. Judson Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judson Willis was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.