Organization Active NPI

Surface Creek Counseling LLC

  • Professional Counselor
  • Delta, CO
National Provider Identifier
1306650387
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SURFACE CREEK COUNSELING LLC
Practice address
494 Highway 92 Ste 300
Delta, CO 81416-3441
Phone
(970) 835-9223
Fax
(970) 835-9230
NPI assigned
Feb 1, 2025
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Shannon April Fritchman, LPCNPI 1295437937
Title
Owner/Member
Phone
(970) 835-9223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

494 Highway 92 Ste 300
Delta, CO 81416-3441

Mailing address

13373 2600 Rd
Eckert, CO 81418-8500
Phone (970) 901-1590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260506000768 CO Part B Supplier - Clinic/Group Practice 3375011539 Receives reassigned benefits from 1 practitioner
Practice locations: Delta, CO

National Provider Directory

National Provider Directory

Locations

326 Main St
Ste 208
Delta, CO 81416
Phone (970) 835-9223

494 Highway 92
Ste 300
Delta, CO 81416
Phone (970) 765-8559

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1306650387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13373 2600 RD",
            "city": "ECKERT",
            "state": "CO",
            "postal_code": "814188500",
            "telephone_number": "970-901-1590",
            "fax_number": "970-835-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 HIGHWAY 92 STE 300",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163441",
            "telephone_number": "970-835-9223",
            "fax_number": "970-835-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFACE CREEK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "FRITCHMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "970-835-9223",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.