Active NPI
Nicena Fontaine, MA, LPC
- Professional Counselor
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0011610
- Practice address
- 1635 Foxtrail Dr
Loveland, CO 80538-9086 - Phone
- (970) 646-1404
- NPI assigned
- Feb 9, 2021
- Last updated
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000192116 | Medicaid | CO |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0011610 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emotional Wellbeing Journey LLC | Counselor | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | 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.
-
- Professional Counselor
- Loveland, CO
- NPI 1023745213
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.