Provider Demographics
NPI:1487978458
Name:BEMIS, BILLIE (MS, LMFT, LAC)
Entity type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:
Last Name:BEMIS
Suffix:
Gender:F
Credentials:MS, LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12510 E ILIFF AVE
Mailing Address - Street 2:SUITE 100-B
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-6376
Mailing Address - Country:US
Mailing Address - Phone:303-558-4211
Mailing Address - Fax:303-558-4211
Practice Address - Street 1:12510 E ILIFF AVE
Practice Address - Street 2:SUITE 100-B
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-6376
Practice Address - Country:US
Practice Address - Phone:303-558-4211
Practice Address - Fax:303-558-4211
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COACD362101YA0400X
COMFT-1016106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72854049Medicaid