Organization Active NPI

Medical Hypnosis Center Inc

Doing business as The Medical Hypnosis & Counseling Center PC

  • Mental Health Counselor
  • Windsor, CO
National Provider Identifier
1356108476
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MEDICAL HYPNOSIS CENTER INC
Doing business as
The Medical Hypnosis & Counseling Center PC
Practice address
1180 Main St Unit B
Windsor, CO 80550-4753
Phone
(970) 674-0191
Fax
(970) 674-0221
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Sandi Y Squicquero, LPCNPI 1356426696
Title
Owner
Phone
(970) 674-0191

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1180 Main St Unit B
Windsor, CO 80550-4753

Mailing address

725 Boardman Canfield Rd Ste O
Boardman, OH 44512-4359
Phone (330) 758-4515

Other names 1

  • The Medical Hypnosis & Counseling Center PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415000630 CO Part B Supplier - Clinic/Group Practice 8729427414 Receives reassigned benefits from 1 practitioner
Practice locations: Windsor, CO

National Provider Directory

National Provider Directory

Locations

1180 Main St
Unit B
Windsor, CO 80550
Phone (970) 674-0191

1180 Main St
Unit 5B
Windsor, CO 80550
Phone (970) 674-0191

725 Boardman Canfield Rd
Ste O
Youngstown, OH 44512
Phone (330) 758-7571

Practitioners & affiliated clinicians

Practitioners 1

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1356108476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE O",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124359",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MAIN ST UNIT B",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504753",
            "telephone_number": "970-674-0191",
            "fax_number": "970-674-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HYPNOSIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "SQUICQUERO",
        "authorized_official_first_name": "SANDI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-674-0191",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Hypnosis & Counseling Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.