Individual provider Active NPI

Sarah Sticha, LPCC

  • Counselor
  • Cortez, CO
National Provider Identifier
1699314849
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPCC.0016885 Issued in CO
Practice address
401 N Dolores Rd
Cortez, CO 81321-4213
Phone
(970) 560-5056
Fax
(970) 564-1654
NPI assigned
Jan 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCC.0016885 CO Primary

Addresses

Primary practice location

401 N Dolores Rd
Cortez, CO 81321-4213

Mailing address

1003 Alma Ave
Cortez, CO 81321-2403
Phone (815) 603-8661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 2, 2024 through Dec 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0016885COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Youth Medical and Nursing Consultants, Inc CurrentSince Nov 1, 2020 Accepting new patients
Rocky Mountain Youth Medical & Nursing Consultants Inc PastSince Jan 12, 2020 Accepting new patients

Locations

401 N Dolores Rd
Cortez, CO 81321
Phone (970) 560-5056

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": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1699314849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 ALMA AVE",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212403",
            "telephone_number": "815-603-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N DOLORES RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813214213",
            "telephone_number": "970-560-5056",
            "fax_number": "970-564-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICHA",
        "first_name": "SARAH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0016885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.