Individual provider Active NPI

Rachel Dana Cimino, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1538876222
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0018449 Issued in CO
Practice address
3060 N Academy Blvd Ste 300
Colorado Springs, CO 80917-5349
Phone
(201) 923-1810
NPI assigned
Nov 1, 2022
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 LPC.0018449 CO
Professional Counselor 101YP2500X 0018449 CO Primary

Addresses

Primary practice location

3060 N Academy Blvd Ste 300
Colorado Springs, CO 80917-5349

Mailing address

3060 N Academy Blvd Ste 300
Colorado Springs, CO 80917-5349

Other practice location 1

5350 Tomah Dr Ste 1100
Colorado Springs, CO 80918-6902
Phone (719) 466-6854

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
I20250515000678 CO Practitioner - Mental Health Counselor 8527586486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moonstone Springs Counseling PLLCGroup PAC ID 6507206331, 2 clinicians

Practice addresses (Care Compare)

3060 N Academy Blvd
Suite 300
Colorado Springs, CO 80917-5349
Phone (859) 321-9790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018449COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moonstone Springs Counseling PLLC CurrentSince May 7, 2025 Accepting new patients

Locations

3060 N Academy Blvd
Ste 300
Colorado Springs, CO 80917
Phone (719) 828-5560

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.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1538876222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 N ACADEMY BLVD STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 N ACADEMY BLVD STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175349",
            "telephone_number": "201-923-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Tomah Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186902",
            "country_code": "US",
            "telephone_number": "719-466-6854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "RACHEL",
        "middle_name": "DANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018449",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0018449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.