Individual provider Active NPI

Allison Christine Dicanto, MA, LPC

  • Mental Health Counselor
  • Alamosa, CO
National Provider Identifier
1821461740
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015409 Issued in CO
Practice address
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone
(719) 589-3671
NPI assigned
Nov 2, 2015
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0015409 CO Primary

Addresses

Primary practice location

8745 County Road 9 S
Alamosa, CO 81101-9610

Mailing address

8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671

Other names 1

  • None None Other 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
I20240208000494 CO Practitioner - Mental Health Counselor 7719320647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8745 County Rd 9
Alamosa, CO 81101-9610
Phone (719) 589-3671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0015409COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Valley Community Mental Health Center, Inc. Current Accepting new patients
San Luis Valley Community Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
San Luis Valley Community Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients

Locations

2255 Lava Ln
Alamosa, CO 81101

311 San Juan Ave
Alamosa, CO 81101

522 Alamosa Ave
Alamosa, CO 81101

8745 County Road 9 S
Alamosa, CO 81101
Phone (719) 587-5612

14443 US Highway 160
Del Norte, CO 81132

402 4th Ave
Monte Vista, CO 81144

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1821461740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICANTO",
        "first_name": "ALLISON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.