Individual provider Active NPI

Chelsea Elizabeth Twiss

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1881172377
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005192 Issued in CO
Practice address
1209 W Plum St Apt A6
Fort Collins, CO 80521-3579
Phone
(360) 477-2410
NPI assigned
Aug 6, 2018
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Psychologist 103TC0700X PSY.0005192 CO Primary

Addresses

Primary practice location

1209 W Plum St Apt A6
Fort Collins, CO 80521-3579

Mailing address

1209 W Plum St Apt A6
Fort Collins, CO 80521-3579
Phone (360) 477-2410

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0005192COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of Colorado LLC Clinical CurrentSince Jul 1, 2021 Accepting new patients
Meditelecare of Virginia, LLC Clinical CurrentSince Jul 16, 2021 Accepting new patients

Locations

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

4242 Medical Dr
Ste 7100
San Antonio, TX 78229
Phone (210) 342-1906

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, 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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1881172377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W PLUM ST APT A6",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213579",
            "telephone_number": "360-477-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W PLUM ST APT A6",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213579",
            "telephone_number": "360-477-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWISS",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.