Active NPI
Dallas Chismar, LPC
- Professional Counselor
- Castle Rock, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0014145
- Practice address
- 333 Perry St Ste 212
Castle Rock, CO 80104-2434 - Phone
- (719) 216-3866
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0014145 | CO | Primary |
Addresses
Primary practice location
333 Perry St Ste 212
Castle Rock, CO 80104-2434
Mailing address
333 Perry St Ste 212
Castle Rock, CO 80104-2434
Phone (719) 216-3866
Other practice location 1
19751 E Mainstreet Ste R10
Parker, CO 80138-7406
Phone (719) 216-3866
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520002225 | CO | Practitioner - Mental Health Counselor | 9234571449 | Practice locations: Castle Rock, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014145 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autumn Consulting, LLC | Professional | Current | Accepting new patients |
| Autumn Consulting, LLC | Professional | Current | Accepting new patients |
Locations
333 Perry St
Ste 212
Castle Rock, CO 80104
Phone (719) 216-3866
115 Wilcox St
Ste 220
Castle Rock, CO 80104
Phone (303) 881-2936
19751 E Mainstreet
Ste R10
Parker, CO 80138
Phone (719) 216-3866
Organizations & group practices 2
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.
-
- Professional Counselor
- Parker, CO
- NPI 1043103005
-
dba Resilient Minds Counseling Center
- Professional Counselor
- Castle Rock, CO
- NPI 1861149346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1609389691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 PERRY ST STE 212",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801042434",
"telephone_number": "719-216-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PERRY ST STE 212",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801042434",
"telephone_number": "719-216-3866"
}
],
"practiceLocations": [
{
"address_1": "19751 E Mainstreet Ste R10",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801387406",
"country_code": "US",
"telephone_number": "719-216-3866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHISMAR",
"first_name": "DALLAS",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0014145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.