Individual provider Active NPI

Tara Ann Saya Livingston

  • Professional Counselor
  • Conifer, CO
National Provider Identifier
1174117030
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0016855 Issued in CO
Practice address
12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410
Phone
(720) 722-1789
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 0016855 CO Primary

Addresses

Primary practice location

12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410

Mailing address

PO Box 102
Conifer, CO 80433-0102
Phone (720) 722-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • 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
I20241203004726 CO Practitioner - Mental Health Counselor 3476089293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016855COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Counseling and Therapy Services, Inc Professional CurrentSince Sep 1, 2024 Accepting new patients
Paragon Behavioral Health Connections Professional Past Accepting new patients
Paragon Behavioral Health Connections Past Accepting new patients

Locations

12424 Big Timber Dr
Unit 3
Conifer, CO 80433
Phone (720) 722-0122

11873 Springs Rd
Ste 120
Conifer, CO 80433

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1174117030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804330102",
            "telephone_number": "720-722-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 BIG TIMBER DR UNIT 3",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336410",
            "telephone_number": "720-722-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYA LIVINGSTON",
        "first_name": "TARA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0016855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.