Individual provider Active NPI

Sal Hines

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1639067382
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0022250 Issued in CO
Practice address
7560 Rangewood Dr Ste 130
Colorado Springs, CO 80920-2100
Phone
(719) 725-1987
NPI assigned
Jun 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0022250 CO Primary

Addresses

Primary practice location

7560 Rangewood Dr Ste 130
Colorado Springs, CO 80920-2100

Mailing address

1270 Ethereal Cir
Colorado Springs, CO 80904-4455
Phone (719) 651-4045

Other names 1

  • Sally Hines Professional 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
I20251006002559 CO Practitioner - Mental Health Counselor 6204333495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Resolve Counseling, LLCGroup PAC ID 5991156093, 4 clinicians

Practice addresses (Care Compare)

7560 Rangewood Dr
Suite 130
Colorado Springs, CO 80920-2100
Phone (719) 725-1987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0022250COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Resolve Counseling, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7560 Rangewood Dr
Ste 130
Colorado Springs, CO 80920
Phone (719) 270-1012

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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1639067382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 ETHEREAL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044455",
            "telephone_number": "719-651-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 RANGEWOOD DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202100",
            "telephone_number": "719-725-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "SAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0022250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "HINES",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.