Active NPI
Summitstone Health Partners
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Collins, CO
National Provider Identifier
1164041364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SUMMITSTONE HEALTH PARTNERS
- Practice address
- 4102 S Timberline Rd
Fort Collins, CO 80525-6033 - Phone
- (970) 494-4200
- Fax
- (844) 270-1690
- NPI assigned
- Apr 9, 2020
- Organization subpart
- Yes
- Parent organization
- SUMMITSTONE HEALTH PARTNERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Dodds, LMFT
- Title
- Ceo
- Phone
- (970) 494-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
4102 S Timberline Rd
Fort Collins, CO 80525-6033
Mailing address
4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000768 | CO | Part B Supplier - Clinic/Group Practice | 4284527144 |
Receives reassigned benefits from 178 practitioners This NPI is an additional NPI on the enrollment Practice locations: Loveland, CO; Fort Collins, CO; Estes Park, CO |
National Provider Directory
National Provider Directory- Part of
- Larimer Center Mental H
Locations
301 Skyway Dr
Fort Collins, CO 80525
Phone (970) 226-2345
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
- NPI 1043912421
-
- Clinical Social Worker
- Fort Collins, CO
- NPI 1841996204
-
- Clinical Social Worker
- Fort Collins, CO
- NPI 1871925248
-
- Professional Counselor
- Fort Collins, CO
- NPI 1790189173
-
- Clinical Social Worker
- Fort Collins, CO
- NPI 1942922349
-
- Psychiatry Physician
- Fort Collins, CO
- NPI 1568429140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1164041364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 S TIMBERLINE RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256033",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMITSTONE HEALTH PARTNERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMITSTONE HEALTH PARTNERS",
"enumeration_date": "2020-04-09",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "DODDS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-494-4200",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.