Individual provider Active NPI

Nicole Dion Festa, MA, LAC, NCAC I, NCC

  • Addiction (Substance Use Disorder) Counselor
  • Thornton, CO
National Provider Identifier
1790021335
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0000813 Issued in CO
Practice address
10327 Washington St
Thornton, CO 80229-2003
Phone
(720) 379-6995
NPI assigned
Jan 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC0015213 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000813 CO Primary

Addresses

Primary practice location

10327 Washington St
Thornton, CO 80229-2003

Mailing address

10327 Washington St
Thornton, CO 80229-2003
Phone (207) 379-6995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 7, 2024 through May 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ACD.0000813COMDAddiction (Substance Use Disorder) Counselor
LPC0015213COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
H.E.a.R.T Counseling Center, LLC CurrentSince Dec 1, 2020 Accepting new patients
H.E.a.R.T Counseling Center, LLC CurrentSince May 7, 2023 Accepting new patients

Locations

10327 Washington St
Thornton, CO 80229
Phone (720) 314-8333

Interoperability endpoints

  • Direct secure messaging: nicole@org97.direct.charmhealth.com

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": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1790021335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10327 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292003",
            "telephone_number": "207-379-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10327 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292003",
            "telephone_number": "720-379-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTA",
        "first_name": "NICOLE",
        "middle_name": "DION",
        "credential": "MA, LAC, NCAC I, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-01",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC0015213",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.