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WALLIS MARLEN LUIS MFTC
NPI 1902287808
Counselor - Addiction (Substance Use Disorder) in Aurora, CO

Active since June 16, 2015PECOS Enrolled
12101 E 2ND AVE STE 100, AURORA, CO 80011(720) 810-4063(303) 364-3932 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wallis Marlen Luis Mftc NPPES

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

WALLIS MARLEN LUIS MFTC (NPI 1902287808) is an individual addiction (substance use disorder) provider in Aurora, Colorado, licensed in Colorado (ACD.0000981) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902287808
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameWALLIS MARLEN LUISCredential: MFTC
Location Address12101 E 2ND AVE STE 100Aurora, CO 80011-8328
Mailing Address1427 Royal Troon DrCastle Rock, CO 80104-5245 · (786) 417-5379 · Fax (786) 600-3993
Phone(720) 810-4063
Fax(303) 364-3932
Sole ProprietorYes
Enumeration DateJune 16, 2015
Last NPPES UpdateOctober 9, 2019
✔ NPI 1902287808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0000981
12101 E 2ND AVE STE 100, Aurora, CO 80011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallis Marlen Luis Mftc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Wallis Luis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

E Dawn Martin Caciii LLC
61 mi
Rehabilitation, Substance Use Disorder
140 S PARKSIDE DR
Colorado Springs, CO 80910
  • Reassigned Medicare billing, Colorado enrollment
  • 8 clinicians in this Medicare group
NPI 1396235511 (719) 358-7338

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

EILEEN A MCCOY MT
Massage Therapist
12101 E 2ND AVE STE 100
AURORA, CO 80011
Arapahoe County (720) 903-6065
DR. BEVERLY A BRAUER PSYD
Psychologist (Clinical)
12101 E 2ND AVE STE 100
AURORA, CO 80011
Arapahoe County (303) 754-7086
ADHERENCE COUNSELING CENTER
Psychologist (Addiction (Substance Use Disorder))
12101 E 2ND AVE STE 100
AURORA, CO 80011
Arapahoe County (303) 656-6595
MRS. JAYLYNN LEINAALA JITCHAKU WAITE LMT
Massage Therapist
12101 E 2ND AVE STE 100
AURORA, CO 80011
Arapahoe County (720) 588-8261

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 Wallis Luis's NPI number?

The NPI number for Wallis Luis is 1902287808. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Wallis Luis located?

Wallis Luis practices at 12101 E 2nd Ave Ste 100, Aurora, CO 80011. The listed phone number is (720) 810-4063.

What is Wallis Luis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Wallis Luis enrolled in Medicare?

Yes. Wallis Luis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wallis Luis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wallis Luis reassigns Medicare benefits to E Dawn Martin Caciii LLC (Colorado Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wallis Luis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wallis Luis was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.