Ignite Change Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IGNITE CHANGE COUNSELING, LLC

Practice address

1802 S Townsend Ave
Montrose, CO 81401-5449

Phone

(970) 249-2134

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa TullioNPI 1275354656

Title

Owner

Phone

(970) 209-1740

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Tullio

  • Community/Behavioral Health Agency
  • Montrose, CO
  • NPI 1275354656
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1689493090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 S TOWNSEND AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015449",
            "telephone_number": "970-249-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 S TOWNSEND AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015449",
            "telephone_number": "970-249-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "TULLIO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-209-1740"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol P Ibach, CNS, RXN, APRN
• Romeo Gonzaga Icasiano, MD
• Roy G Icasiano, P.T.
• Karen S Ickes, MA
• Laura Ann Ickes, MS
• In Motion Hand Therapy Inc (In Motion Therapy)
• Innergy Wellness Consultation
• Insuracaid Dental, LLC
• Integrated Dermatology of Montrose, LLC
• Integrated Insight Therapy, LLC

• Community/Behavioral Health Agency in Montrose, CO
• Providers in Montrose, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.