NPIMap

Individual provider Active NPI

Veronica Josette Sicking

  • Professional Counselor
  • Eagle, CO
National Provider Identifier
1164914842
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0017146 Issued in CO
Practice address
137 Howard St.
Eagle, CO 81631-0000
Phone
(970) 328-6969
Fax
(970) 328-6329
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0017146 CO Primary

Addresses

Primary practice location

137 Howard St.
Eagle, CO 81631-0000

Mailing address

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

Other practice location 1

395 E Lionshead Cir
Vail, CO 81657-5354
Phone (970) 476-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117004869 CO Practitioner - Mental Health Counselor 0749632495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2802 Grand Ave
Glenwood Springs, CO 81601-4428
Phone (970) 945-2583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0017146COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health, Inc. Professional CurrentSince Jan 8, 2024 Accepting new patients
Colorado West Regional Mental Health Inc. Current Accepting new patients
Colorado West Regional Mental Health, Inc. Professional CurrentSince Jan 8, 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. Professional 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

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

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

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

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

395 E Lionshead Cir
Vail, CO 81657
Phone (970) 476-0930

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1164914842",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HOWARD ST.",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816310000",
            "telephone_number": "970-328-6969",
            "fax_number": "970-328-6329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 E Lionshead Cir",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575354",
            "country_code": "US",
            "telephone_number": "970-476-0930",
            "fax_number": "970-476-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICKING",
        "first_name": "VERONICA",
        "middle_name": "JOSETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

Verify at the official NPI Registry.