Individual provider Active NPI

Christina Stillson, LPC BC-DMT ACS NCC

  • Professional Counselor
  • Loveland, CO
National Provider Identifier
1457709834
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012986 Issued in CO
Practice address
330 N. Lincoln Ave.
Suite 108
Loveland, CO 80537-5600
Phone
(970) 599-1314
NPI assigned
May 26, 2016
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1899 MS
Professional Counselor 101YP2500X LPC.0012986 CO Primary

Addresses

Primary practice location

330 N. Lincoln Ave.
Suite 108
Loveland, CO 80537-5600

Mailing address

330 N. Lincoln Ave.
Suite 108
Loveland, CO 80537-5600
Phone (970) 599-1314

Other practice location 1

1770 25th Ave
Greeley, CO 80634-4947
Phone (970) 599-1314

Other practice location 2

914 S College Ave
Fort Collins, CO 80524-3303
Phone (970) 599-1314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105002500 CO Practitioner - Mental Health Counselor 8628429438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equilibrium, LLCGroup PAC ID 4183075997, 2 clinicians

Practice addresses (Care Compare)

330 N Lincoln Ave
Suite 108
Loveland, CO 80537-5600
Phone (970) 599-1314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1899MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibrium LLC CurrentSince Feb 1, 2015 Accepting new patients
Equilibrium, LLC Professional CurrentSince Nov 28, 2021 Accepting new patients

Locations

914 S College Ave
Fort Collins, CO 80524
Phone (970) 599-1314

330 N Lincoln Ave
Ste 108
Loveland, CO 80537
Phone (970) 444-2076

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1457709834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N. LINCOLN AVE.",
            "address_2": "SUITE 108",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375600",
            "telephone_number": "970-599-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N. LINCOLN AVE.",
            "address_2": "SUITE 108",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375600",
            "telephone_number": "970-599-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344947",
            "country_code": "US",
            "telephone_number": "970-599-1314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243303",
            "country_code": "US",
            "telephone_number": "970-599-1314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLSON",
        "first_name": "CHRISTINA",
        "credential": "LPC BC-DMT ACS NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1899",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.