Callie Gummow, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0016799 Issued in CO

Practice address

1421 S Potomac St
Aurora, CO 80012-4535

Phone

(970) 363-4563

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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

• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1588038681

  Professional

  Medicare reassignment Care Compare group NPD
• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Thornton, CO
  • NPI 1235770546

  Professional

  NPD
• Heart Centered Counseling, PC

  dba LifeStance Health

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1558158584

  Professional

  NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1134719305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 WABASH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202148",
            "telephone_number": "602-502-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124535",
            "telephone_number": "970-363-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMOW",
        "first_name": "CALLIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0016799",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhruva Rao Gulur, M.D.
• Petronilo Gumban
• Lindsey Gumer, MD, MSC
• Amitha Gumidyala, PH.D.
• Ramakrishna Gumidyala, MD
• McKenzie L Gunderson, PA-C
• Courtney Gundlach, RN
• Olivia Gundrum
• Stacey Robyn Gundry, PA
• Laura Ann Gundy, PSYD

• Professional Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.