Individual provider Active NPI

Antoinette Dasilva-Fausto, LPC

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1982139465
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0017036 Issued in CO
Practice address
1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409
Phone
(970) 310-3406
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X LPC.0017036 CO Primary

Addresses

Primary practice location

1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409

Mailing address

1630 Dry Creek Dr Ste 100-B
Longmont, CO 80503-6409
Phone (970) 310-3406

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008000977 CO Practitioner - Mental Health Counselor 9931606886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1630 Dry Creek Dr
Suite 100B
Longmont, CO 80503-6405
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0017036COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Professional CurrentSince Oct 5, 2025 Accepting new patients
Heart Centered Counseling, PC Professional CurrentSince Oct 5, 2025 Accepting new patients
Heart Centered Counseling, PC Professional Current Accepting new patients

Locations

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

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

Organizations & group practices 3

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1982139465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100-B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 100-B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA-FAUSTO",
        "first_name": "ANTOINETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.