Individual provider Active NPI

Christina L. Tippen, LCSW LAC

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1124319835
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9931461 Issued in CO
Practice address
515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone
(970) 683-7258
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0020870 CO
Clinical Social Worker 1041C0700X 9931461 CO Primary

Addresses

Primary practice location

515 28 3/4 Rd
Grand Junction, CO 81501-5016

Mailing address

515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 683-7258

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
I20250429003996 CO Practitioner - Clinical Social Worker 4082130372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACC.0020870COMDAddiction (Substance Use Disorder) Counselor
9931461COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Colorado West Regional Mental Health Inc. Current Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Aug 25, 2024 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

3210 E Rd
Clifton, CO 81520
Phone (702) 454-2139

439 Breeze St
Craig, CO 81625
Phone (970) 824-6541

439 Breeze St
Ste 200
Craig, CO 81625
Phone (970) 824-6541

2802 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2583

2635 N 7th St
Unit 3
Grand Junction, CO 81501
Phone (970) 683-7000

707 Wapiti Ct
Unit 202B
Rifle, CO 81650
Phone (970) 625-3582

707 Wapiti Ct
Rifle, CO 81650
Phone (970) 945-8683

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1124319835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 28 3/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015016",
            "telephone_number": "970-683-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 28 3/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015016",
            "telephone_number": "970-683-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPEN",
        "first_name": "CHRISTINA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LCSW LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0020870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9931461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.