Active NPI
Stacy Ellen Delbaugh, MS, CAC III
- Addiction (Substance Use Disorder) Counselor
- Centennial, CO
National Provider Identifier
1831611078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 00000928
- Practice address
- 7200 E Dry Creek Rd Ste B201
Centennial, CO 80112-2560 - Phone
- (720) 837-0908
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6128 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00000928 | CO | Primary |
Addresses
Primary practice location
7200 E Dry Creek Rd Ste B201
Centennial, CO 80112-2560
Mailing address
7200 E Dry Creek Rd Ste B201
Centennial, CO 80112-2560
Phone (720) 837-0908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000189339 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.courage2changecounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000928 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 6128 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage 2 Change Counseling | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Courage 2 Change Counseling | Current | Accepting new patients |
Locations
2101 S Blackhawk St
Ste 190
Aurora, CO 80014
Phone (720) 837-0908
7200 E Dry Creek Rd
Ste B201
Centennial, CO 80112
Phone (720) 837-0908
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.
-
- Addiction (Substance Use Disorder) Counselor
- Aurora, CO
- NPI 1194459370
-
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1275328940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1831611078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 E DRY CREEK RD STE B201",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122560",
"telephone_number": "720-837-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 E DRY CREEK RD STE B201",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122560",
"telephone_number": "720-837-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELBAUGH",
"first_name": "STACY",
"middle_name": "ELLEN",
"credential": "MS, CAC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6128",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "00000928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000189339",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.courage2changecounseling.com",
"affiliation": "N",
"endpointDescription": "www.courage2changecounseling.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7200 E Dry Creek Rd Ste B201",
"city": "Centennial",
"state": "CO",
"country_code": "US",
"postal_code": "801122560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.