Individual provider Active NPI

Christopher Lynn Schack, LPC, LAC

  • Mental Health Counselor
  • Arvada, CO
National Provider Identifier
1548090848
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0021040 Issued in CO
Practice address
5460 Ward Rd Ste 110
Arvada, CO 80002-1828
Phone
(303) 775-9737
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002160 CO
Mental Health Counselor 101YM0800X LPC.0021040 CO Primary

Addresses

Primary practice location

5460 Ward Rd Ste 110
Arvada, CO 80002-1828

Mailing address

6207 Devinney Cir
Arvada, CO 80004-6109
Phone (303) 775-9737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5460 Ward Rd
Arvada, CO 80002-1828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002160COMDAddiction (Substance Use Disorder) Counselor
LPC.0021040COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1548090848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 DEVINNEY CIR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800046109",
            "telephone_number": "303-775-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 WARD RD STE 110",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021828",
            "telephone_number": "303-775-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACK",
        "first_name": "CHRISTOPHER",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002160",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0021040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.