Individual provider Active NPI

Dale Melody Lippincott, LPC, CAC II

  • Counselor
  • Broomfield, CO
National Provider Identifier
1962085159
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6205 Issued in CO
Practice address
30 Walter Way
Broomfield, CO 80020-1197
Phone
(719) 494-7576
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6205 CO Primary

Addresses

Primary practice location

30 Walter Way
Broomfield, CO 80020-1197

Mailing address

30 Walter Way
Broomfield, CO 80020-1197
Phone (719) 494-7576

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL dmelody56@gmail.com Direct
CONNECT URL 7194947576
CONNECT URL LippincottCounseling@yahoo.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1962085159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WALTER WAY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201197",
            "telephone_number": "719-494-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WALTER WAY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201197",
            "telephone_number": "719-494-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "DALE",
        "middle_name": "MELODY",
        "credential": "LPC, CAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "6205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dmelody56@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Walter Way",
            "city": "Broomfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800201197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7194947576",
            "affiliation": "N",
            "address_1": "30 Walter Way",
            "city": "Broomfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800201197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LippincottCounseling@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "30 Walter Way",
            "city": "Broomfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800201197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.