Individual provider Active NPI

Christina Lynn Pacheco, LPC, LAC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1730566506
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0013145 Issued in CO
Practice address
1805 S Bellaire St Ste 465-03
Denver, CO 80222-4305
Phone
(720) 643-6685
Fax
(303) 763-7511
NPI assigned
Apr 30, 2015
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000600 CO
Mental Health Counselor 101YM0800X LPC.0013145 CO Primary

Addresses

Primary practice location

1805 S Bellaire St Ste 465-03
Denver, CO 80222-4305

Mailing address

1805 S Bellaire St Ste 465-03
Denver, CO 80222-4305
Phone (720) 643-6685

Other names 1

  • Christina Lynn Stoner Former name

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
I20240726000977 CO Practitioner - Mental Health Counselor 8820534837 Practice locations: Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1805 S Bellaire St
Suite 465 03
Denver, CO 80222-4305
Phone (720) 643-6685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0000600COMDAddiction (Substance Use Disorder) Counselor
LPC.0013145COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1730566506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 465-03",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224305",
            "telephone_number": "720-643-6685",
            "fax_number": "303-763-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 465-03",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224305",
            "telephone_number": "720-643-6685",
            "fax_number": "303-763-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0013145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "STONER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.