Individual provider Active NPI

Carli Mae Standen

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1801401716
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0019269 Issued in CO
Practice address
117 E Mountain Ave Ste 215
Fort Collins, CO 80524-2863
Phone
(970) 658-9925
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 11924236-6004 UT
Mental Health Counselor 101YM0800X LPC.0019269 CO Primary

Addresses

Primary practice location

117 E Mountain Ave Ste 215
Fort Collins, CO 80524-2863

Mailing address

720 S River Rd Ste B105
St George, UT 84790-5704
Phone (435) 278-8227

Other practice location 1

377 E Riverside Dr Ste B
St George, UT 84790-4749
Phone (435) 862-8273

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
I20240604001998 CO Practitioner - Mental Health Counselor 7517409782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Winterstone CT
Fort Collins, CO 80525-5668
Phone (435) 272-2634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11924236-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Meadow Counseling LLC Mental Health CurrentSince Feb 19, 2025 Accepting new patients
Therapy Associates, PC Mental Health CurrentSince Sep 13, 2020 Accepting new patients
Momentum Counseling and Consulting LLC Mental Health CurrentSince Mar 31, 2024 Accepting new patients
Momentum Counseling and Consulting LLC CurrentSince Mar 31, 2024 Accepting new patients

Locations

2120 Milestone Dr
Ste 103
Fort Collins, CO 80525
Phone (719) 789-7041

377 E Riverside Dr
Ste B
St George, UT 84790
Phone (435) 862-8273

Organizations & group practices 4

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1801401716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD STE B105",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905704",
            "telephone_number": "435-278-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MOUNTAIN AVE STE 215",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242863",
            "telephone_number": "970-658-9925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 E Riverside Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847904749",
            "country_code": "US",
            "telephone_number": "435-862-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDEN",
        "first_name": "CARLI",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11924236-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0019269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.