Individual provider Active NPI

Lisa Ann Cottingham

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1255799714
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0001866 Issued in CO
Practice address
6080 Trevino CT
Fort Collins, CO 80528-8875
Phone
(970) 568-6568
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0001866 CO Primary

Addresses

Primary practice location

6080 Trevino CT
Fort Collins, CO 80528-8875

Mailing address

6080 Trevino CT
Fort Collins, CO 80528-8875
Phone (970) 568-6568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118004041 CO Practitioner - Qualified Speech Language Pathologist 0042745754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Family Therapy Prof LLC Speech-Language Pathologist CurrentSince Sep 8, 2024 Accepting new patients
Lisa Cottingham SLP LLC Speech-Language Pathologist CurrentSince Jun 15, 2025 Accepting new patients
Lighthouse Family Therapy Prof LLC Speech-Language Pathologist Past Accepting new patients

Locations

1330 Oakridge Dr
Unit 105
Fort Collins, CO 80525
Phone (970) 232-5457

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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1255799714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 TREVINO CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288875",
            "telephone_number": "970-568-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 TREVINO CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288875",
            "telephone_number": "970-568-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTINGHAM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001866",
            "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 Jan 29, 2016; 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.

Verify at the official NPI Registry.