Individual provider Active NPI

Nicena Fontaine, MA, LPC

  • Professional Counselor
  • Loveland, CO
National Provider Identifier
1699367789
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011610 Issued in CO
Practice address
1635 Foxtrail Dr
Loveland, CO 80538-9086
Phone
(970) 646-1404
NPI assigned
Feb 9, 2021
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0011610 CO
Mental Health Counselor 101YM0800X LPC.0011610 CO
Professional Counselor 101YP2500X LPC.0011610 CO Primary

Addresses

Primary practice location

1635 Foxtrail Dr
Loveland, CO 80538-9086

Mailing address

1635 Foxtrail Dr
Loveland, CO 80538-9086
Phone (970) 646-1404

Other practice location 1

2580 E Harmony Rd Ste 201
Fort Collins, CO 80528-9632
Phone (970) 646-1404

Other identifiers 1

IdentifierTypeStateIssuer
9000192116MedicaidCO

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
I20251028003649 CO Practitioner - Mental Health Counselor 8325537590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0011610COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emotional Wellbeing Journey LLC Counselor CurrentSince Aug 14, 2022 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Sep 1, 2025 Accepting new patients

Locations

300 E Horsetooth Rd
Ste 200
Fort Collins, CO 80525
Phone (405) 474-4833

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

1635 Foxtrail Dr
Loveland, CO 80538
Phone (970) 460-8015

2314 E 13th St
Loveland, CO 80537
Phone (970) 286-7921

2314 E 13th St
Ste R
Loveland, CO 80537

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, 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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1699367789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 FOXTRAIL DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389086",
            "telephone_number": "970-646-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 FOXTRAIL DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389086",
            "telephone_number": "970-646-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 E Harmony Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805289632",
            "country_code": "US",
            "telephone_number": "970-646-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "NICENA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0011610",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0011610",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000192116",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.