Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Judson Willis

Individual provider Professional Counselor · NPI 1669360095

Judson Willis is a Mental Health Counselor in Colorado Springs, Colorado. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
11
Licensed in
CO
In the registry since
2025

Practice location Address checks out

140 S Parkside Dr
Colorado Springs, CO 80910-3129
Phone: (719) 358-7338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0022027 (CO)

Record details

NPI number1669360095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 25, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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