Individual provider Active NPI

Stephen Earl Christopher, LPC, CAC II, CCCTP

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1164813580
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012438 Issued in CO
Practice address
839 S Circle Dr
Colorado Springs, CO 80910-2326
Phone
(719) 648-1072
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 0007816 CO
Professional Counselor 101YP2500X LPC.0012438 CO Primary

Addresses

Primary practice location

839 S Circle Dr
Colorado Springs, CO 80910-2326

Mailing address

839 S Circle Dr
Colorado Springs, CO 80910-2326
Phone (719) 648-1072

Other practice location 1

839 S Circle Dr
Colorado Springs, CO 80910
Phone (719) 473-6612

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
I20240227000352 CO Practitioner - Mental Health Counselor 1254776552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3958 N Academy Blvd
Suite 113
Colorado Springs, CO 80917-5911
Phone (719) 473-6612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007816COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Couch LLC Current Accepting new patients
Counseling Coach, LLC CurrentSince Jan 1, 2024 Accepting new patients
Martial Arts & Mental Health Professional CurrentSince Sep 27, 2020 Accepting new patients

Locations

839 S Circle Dr
Colorado Springs, CO 80910
Phone (719) 473-6612

3958 N Academy Blvd
Ste 113
Colorado Springs, CO 80917
Phone (719) 433-0715

Organizations & group practices 3

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1164813580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102326",
            "telephone_number": "719-648-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102326",
            "telephone_number": "719-648-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 S Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80910",
            "country_code": "US",
            "telephone_number": "719-473-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "STEPHEN",
        "middle_name": "EARL",
        "credential": "LPC, CAC II, CCCTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0007816",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.