NPIMap

Organization Active NPI

Equilibrium LLC

Doing business as Equilibrium Counseling Services

  • Mental Health Counselor
  • Loveland, CO
National Provider Identifier
1063871416
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012986 Issued in CO
Legal business name
EQUILIBRIUM LLC
Doing business as
Equilibrium Counseling Services
Practice address
330 N Lincoln Ave
Ste 108
Loveland, CO 80537-5600
Phone
(970) 599-1314
NPI assigned
Feb 13, 2016
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina Vonie' Stillson, BC-DMT, LPC, ACS, NBNPI 1457709834
Title
President
Phone
(970) 599-1314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0012986 CO Primary
Mental Health Counselor 101YM0800X 1899 MS

Addresses

Primary practice location

330 N Lincoln Ave
Ste 108
Loveland, CO 80537-5600

Mailing address

330 N Lincoln Ave
Ste 108
Loveland, CO 80537-5600
Phone (970) 599-1314

Other names 1

  • Equilibrium Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105002086 CO Part B Supplier - Clinic/Group Practice 4183075997 Receives reassigned benefits from 3 practitioners
Practice locations: Loveland, CO

National Provider Directory

National Provider Directory
Tax ID family
Equilibrium LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 W Oak St Ste 280
Fort Collins, CO 80524

330 N Lincoln Ave
Ste 108
Loveland, CO 80537
Phone (970) 444-2076

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1063871416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N LINCOLN AVE",
            "address_2": "STE 108",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375600",
            "telephone_number": "970-599-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N LINCOLN AVE",
            "address_2": "STE 108",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375600",
            "telephone_number": "970-599-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "STILLSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "VONIE'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-599-1314",
        "authorized_official_credential": "BC-DMT, LPC, ACS, NB"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012986",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equilibrium Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.