Organization Active NPI

Light of the Rockies Christian Counseling Center

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1174748008
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
940 Issued in CO
Legal business name
LIGHT OF THE ROCKIES CHRISTIAN COUNSELING CENTER
Practice address
375 E Horsetooth Rd BLDG 2101
Fort Collins, CO 80525-3196
Phone
(970) 484-1735
Fax
(970) 224-4893
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Victoria Roberts
Title
Operations Manager
Phone
(970) 484-1735

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 940 CO Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

375 E Horsetooth Rd BLDG 2101
Fort Collins, CO 80525-3196

Mailing address

375 E Horsetooth Rd BLDG 2101
Fort Collins, CO 80525-3196
Phone (970) 484-1735

National Provider Directory

National Provider Directory

Locations

375 E Horsetooth Rd
Bldg 2101
Fort Collins, CO 80525
Phone (970) 484-1735

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1174748008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 2101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253196",
            "telephone_number": "970-484-1735",
            "fax_number": "970-224-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 2101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253196",
            "telephone_number": "970-484-1735",
            "fax_number": "970-224-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF THE ROCKIES CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "970-484-1735"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "940",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.