Constance Pettitt, LPC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

709 Dale St Ste B
Fountain, CO 80817-1794

Phone

(719) 344-3864

NPI assigned

Feb 5, 2018

Last updated

Jan 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

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.

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Hope Counseling Center

  dba Rocky Mountain Hope Counseling

  • Mental Health Counselor
  • Fountain, CO
  • NPI 1043815715

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1639678667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 DALE ST STE B",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171794",
            "telephone_number": "719-344-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 DALE ST STE B",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171794",
            "telephone_number": "719-344-3864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 N Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809204051",
            "country_code": "US",
            "telephone_number": "719-344-3864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTITT",
        "first_name": "CONSTANCE",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90000158233",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fountain",
            "affiliation": "N",
            "endpointDescription": "rockymountainhope@yahoo.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fountain",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "709 Dale St Ste B",
            "city": "Fountain",
            "state": "CO",
            "country_code": "US",
            "postal_code": "808171794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peak Potential Behavior & Wellness LLC
• Peak Vista Community Health Centers (Health Center at Fountain)
• Alma Perez Gonzalez
• Yoslin Amora Perez-Robles
• Melissa R Petrone, MS, LPC
• Jami Lee Pevler, NP
• Ryan Mark Pfeifer, DDS
• Candace Pfister, DMD
• Alecia Phillips
• Zachery Phillips

• Mental Health Counselor in Fountain, CO
• Providers in Fountain, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.