Individual provider Active NPI

Monica Massaro Garcia, PSY.D.

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1104140656
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0004741 Issued in CO
Practice address
1221 E Elizabeth St Ste 3
Fort Collins, CO 80524-4066
Phone
(970) 829-8619
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0004741 CO Primary
Psychologist 103T00000X 26441 CA

Addresses

Primary practice location

1221 E Elizabeth St Ste 3
Fort Collins, CO 80524-4066

Mailing address

1221 E Elizabeth St Ste 3
Fort Collins, CO 80524-4066
Phone (925) 337-0415

Other names 1

  • Dr. Monica Massaro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124001256 CO Practitioner - Clinical Psychologist 9032478896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winds of Change Counseling, LLCGroup PAC ID 9537555826, 4 clinicians

Practice addresses (Care Compare)

3030 S College Ave
Unit 200a
Fort Collins, CO 80525-2557
Phone (970) 315-2293

608 E Harmony Rd
Suite 202
Fort Collins, CO 80525-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26441CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Winds of Change Counseling, LLC Psychologist CurrentSince Mar 4, 2022 Accepting new patients
Winds of Change Counseling, LLC Psychologist Current Accepting new patients
Four Points Counseling Center LLC PastSince Oct 1, 2021 Accepting new patients
Northern Colorado Counseling PLLC Past Accepting new patients

Locations

608 E Harmony Rd
Ste 202
Fort Collins, CO 80525
Phone (970) 282-4428

3030 S College Ave
Unit 200A
Fort Collins, CO 80525
Phone (970) 301-8755

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1104140656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E ELIZABETH ST STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244066",
            "telephone_number": "925-337-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E ELIZABETH ST STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244066",
            "telephone_number": "970-829-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MONICA",
        "middle_name": "MASSARO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004741",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MASSARO",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.