Active NPI
Kayla Cupp
- Mental Health Counselor
- Loveland, CO
National Provider Identifier
1336757566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0022109
- Practice address
- 2074 Cupola Dr
Unit 300
Loveland, CO 80538 - Phone
- (970) 227-4596
- NPI assigned
- Jul 14, 2020
- Reactivated
- Oct 21, 2024
- Last updated
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0022109 | CO | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
2074 Cupola Dr
Unit 300
Loveland, CO 80538
Mailing address
125 Crestridge St Ste 1
Fort Collins, CO 80525
Phone (970) 942-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0022109 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Counseling and Consulting | Case Manager/Care Coordinator | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Fort Collins, CO
- NPI 1740926187
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1336757566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CRESTRIDGE ST STE 1",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80525",
"telephone_number": "970-942-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 CUPOLA DR",
"address_2": "UNIT 300",
"city": "LOVELAND",
"state": "CO",
"postal_code": "80538",
"telephone_number": "970-227-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPP",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2024-10-31",
"certification_date": "2024-10-25",
"deactivation_date": "2024-05-22",
"reactivation_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0022109",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.