Individual provider Active NPI

Lauren Manzella, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1952080830
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998788-NP Issued in CO
Practice address
375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197
Phone
(970) 805-0416
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998788-NP CO Primary

Addresses

Primary practice location

375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197

Mailing address

2256 Milton LN
Fort Collins, CO 80524-2578
Phone (918) 914-9760

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823002405 CO Practitioner - Nurse Practitioner 2264895341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

375 E Horsetooth Rd
BLDG 3101
Fort Collins, CO 80525-3197
Phone (970) 310-3406

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as group
Quality
78.73
Promoting interoperability
68
Improvement activities
40
Cost
51.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatric/Mental Health Current Accepting new patients
Colorado in-Home Counseling CurrentSince Aug 8, 2023 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Oct 8, 2024 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Oct 8, 2024 Accepting new patients

Locations

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

375 E Horsetooth Rd
Bldg 3101
Fort Collins, CO 80525
Phone (224) 715-0673

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.laurenmanzella@146010.advancedmd-direct.com

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1952080830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 MILTON LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242578",
            "telephone_number": "918-914-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 3101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253197",
            "telephone_number": "970-805-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZELLA",
        "first_name": "LAUREN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998788-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.