Individual provider Active NPI

Emily Charise Lingle, LPC

  • Counselor
  • Longmont, CO
National Provider Identifier
1417595232
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0019417 Issued in CO
Practice address
2204 18TH Ave Ste 103
Longmont, CO 80501-9709
Phone
(719) 679-3070
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0019417 CO Primary

Addresses

Primary practice location

2204 18TH Ave Ste 103
Longmont, CO 80501-9709

Mailing address

2204 18TH Ave Ste 103
Longmont, CO 80501-9709
Phone (719) 679-3070

Other identifiers 1

IdentifierTypeStateIssuer
LPC.0019417OtherCODORA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily@sustainedhealing.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019417COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sustained Healing Counseling LLC Mental Health CurrentSince Mar 11, 2025 Accepting new patients

Locations

2204 18th Ave
Ste 103
Longmont, CO 80501
Phone (719) 210-5542

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1417595232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 18TH AVE STE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019709",
            "telephone_number": "719-679-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 18TH AVE STE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019709",
            "telephone_number": "719-679-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGLE",
        "first_name": "EMILY",
        "middle_name": "CHARISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0019417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "LPC.0019417",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@sustainedhealing.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2204 18th Ave Ste 103",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805019709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.