Organization Active NPI

Family Integration Counseling Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bailey, CO
National Provider Identifier
1396090593
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY INTEGRATION COUNSELING SERVICE, INC.
Practice address
60615 US Highway 285
Bailey, CO 80421
Phone
(303) 838-5406
Fax
(888) 805-4990
NPI assigned
Jul 13, 2012
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Dustin Ted Powell, LPCNPI 1144343567
Title
Owner/Psychotherapist
Phone
(303) 838-5406

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

60615 US Highway 285
Bailey, CO 80421

Mailing address

60615 US Highway 285
Bailey, CO 80421
Phone (303) 838-5406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250731004100 CO Part B Supplier - Clinic/Group Practice 5597273649 Receives reassigned benefits from 1 practitioner
Practice locations: Bailey, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1396090593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60615 US HIGHWAY 285",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "80421",
            "telephone_number": "303-838-5406",
            "fax_number": "888-805-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60615 US HIGHWAY 285",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "80421",
            "telephone_number": "303-838-5406",
            "fax_number": "888-805-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INTEGRATION COUNSELING SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-838-5406",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bailey, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.