Individual provider Active NPI

Randal John Stueve, LPCC

  • Mental Health Counselor
  • Durango, CO
National Provider Identifier
1952957797
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0018656 Issued in CO
Practice address
100 Jenkins Ranch Rd Unit E1
Durango, CO 81301-9473
Phone
(970) 422-3830
NPI assigned
Aug 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 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.0018656 CO Primary

Addresses

Primary practice location

100 Jenkins Ranch Rd Unit E1
Durango, CO 81301-9473

Mailing address

114 Tierra Vista Dr
Durango, CO 81301-7784
Phone (970) 769-4720

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

State licenses

LicenseStateTypeSpecialty
LPC.0018656COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Higher, Inc. CurrentSince Aug 18, 2019 Accepting new patients

Locations

100 Jenkins Ranch Rd
Unit E1
Durango, CO 81301
Phone (970) 422-3830

Organizations & group practices 1

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1952957797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TIERRA VISTA DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017784",
            "telephone_number": "970-769-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JENKINS RANCH RD UNIT E1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019473",
            "telephone_number": "970-422-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEVE",
        "first_name": "RANDAL",
        "middle_name": "JOHN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.