Christopher B Teipel, LPC, LAT
Individual provider Active NPI Mental Health Counselor · Loveland, CO
NPI 1154765501 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1154765501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC-1582 (WY)
- Practice address
- 1401 S Taft Ave Ste 206
Loveland, CO 80537-6962 - Phone
- (307) 274-4398
- NPI assigned
- Apr 28, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abundant Life Therapy LLC
Practice addresses (Care Compare)
1401 S Taft Ave
Suite 206
Loveland, CO 80537-6962
Phone (307) 274-4398
520 E 18TH St
Cheyenne, WY 82001-4618
Phone (307) 274-4398
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131004363 | CO | Practitioner - Mental Health Counselor | 3971956459 | Reassigns benefits to 1 organization |
| I20241002001924 | WY | Practitioner - Mental Health Counselor | 3971956459 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000312 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LAT-362 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| 0012078 | CO | MD | Mental Health Counselor |
| LPC-1582 | WY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Life Therapy, LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
1401 S Taft Ave
Ste 206
Loveland, CO 80537
Phone (307) 274-4398
520 E 18th St
Cheyenne, WY 82001
Phone (307) 421-4200
2321 Dunn Ave
Cheyenne, WY 82001
Phone (307) 314-9789
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT-362 | WY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0000312 | CO | |
| Mental Health Counselor | 101YM0800X | 0012078 | CO | |
| Mental Health Counselor | 101YM0800X | LPC-1582 | WY | Yes |
Addresses
Primary practice location
1401 S Taft Ave Ste 206
Loveland, CO 80537-6962
Mailing address
PO Box 21511
Cheyenne, WY 82003-7029
Phone (307) 274-4398
Other practice location 1
2321 Dunn Ave
Cheyenne, WY 82001-3214
Phone (307) 274-4398
Other providers in Loveland, CO
- Shannon Carol Teague
- Teamselect Home Care of Colorado, LLC
- Teamselect Home Care of Colorado, LLC
- Allen J Tefft
- Barbara Ann Tehrani
- Robert James Tello
- Tender Care Pediatric Services, Inc
- Katherine Strife Teruel
- Martine Patrice Tesone
- John R Teumer
All providers in Loveland, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.