NPIMap

Organization Active NPI

SKB Therapy

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1730711474
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SKB THERAPY
Practice address
2627 Redwing Rd Ste 220
Fort Collins, CO 80526-6331
Phone
(970) 239-1377
Fax
(970) 573-7785
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Dr. Stephanie Bagwell, PSY.D.NPI 1114368263
Title
Licensed Clinical Psychologist
Phone
(720) 507-7686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2627 Redwing Rd Ste 220
Fort Collins, CO 80526-6331

Mailing address

2627 Redwing Rd Ste 220
Fort Collins, CO 80526-6331
Phone (970) 239-1377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407000553 CO Part B Supplier - Clinic/Group Practice 6507295912 Receives reassigned benefits from 8 practitioners
Practice locations: Loveland, CO

National Provider Directory

National Provider Directory
Tax ID family
SKB Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2627 Redwing Rd
Ste 220
Fort Collins, CO 80526
Phone (970) 239-1377

295 E 29th St
Ste 260
Loveland, CO 80538
Phone (970) 239-1377

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1730711474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 220",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266331",
            "telephone_number": "970-239-1377",
            "fax_number": "970-573-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 220",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266331",
            "telephone_number": "970-239-1377",
            "fax_number": "970-573-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKB THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-507-7686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.