Nicole Lea Longhofer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0021651 Issued in CO

Practice address

1295 Kelly Johnson Blvd Ste 240
Colorado Springs, CO 80920-3963

Phone

(719) 480-8848

Fax

(719) 941-8256

NPI assigned

Nov 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monumental Experiences PLLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1770250300
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  CO

  Medicare reassignment NPD
• Growth-Change-Reflection Counseling and Consulting LLC

  • Counselor
  • Colorado Springs, CO
  • NPI 1306302245
  NPD

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1568066744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 DELMONICO DR STE D210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191899",
            "telephone_number": "330-488-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 KELLY JOHNSON BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203963",
            "telephone_number": "719-480-8848",
            "fax_number": "719-941-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 59th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992858",
            "country_code": "US",
            "telephone_number": "253-620-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGHOFER",
        "first_name": "NICOLE",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0021651",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Long, PHARMD
• Ryan W Long, RN
• Sakura Long
• Teri Long
• William Long, NP
• Jason Longie
• Dawn M Longo, MSN, FNP-BC C
• Linda Kathleen Longo, W.H.N.P.
• Norma Monica Longo, DMD
• Nyheli Longoria

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.