Individual provider Active NPI

Stephanie Leandra Kriescher, PHD LP NCSP

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1629491683
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0005732 Issued in CO
Practice address
363 W Drake Rd
Fort Collins, CO 80526-6323
Phone
(970) 465-2977
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0005732 CO Primary

Addresses

Primary practice location

363 W Drake Rd
Fort Collins, CO 80526-6323

Mailing address

363 W Drake Rd
Fort Collins, CO 80526-6323
Phone (970) 465-2977

Other names 1

  • Stephanie Leandra Strasbaugh Former name

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
I20260220000851 CO Practitioner - Clinical Psychologist 5597253864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3351 Eastbrook Dr
Suite 200
Fort Collins, CO 80525-5744
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0005732COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Dec 3, 2025 Accepting new patients
Family Care Center, LLC Psychologist CurrentSince Dec 3, 2025 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

3351 Eastbrook Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 500-0164

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.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1629491683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266323",
            "telephone_number": "970-465-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266323",
            "telephone_number": "970-465-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIESCHER",
        "first_name": "STEPHANIE",
        "middle_name": "LEANDRA",
        "credential": "PHD LP NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0005732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "STRASBAUGH",
            "middle_name": "LEANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.