LIFESTANCE HEALTH
NPI 1104405562
Counselor - Mental Health in Boulder, CO
About Lifestance Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESTANCE HEALTH (NPI 1104405562) is a healthcare organization registered as a mental health in Boulder, Colorado and active in the NPI registry since April 2021. The organization lists Ryan Pardo, Chief Legal Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifestance Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
388Medicare enrollment records show 388 clinicians reassign Medicare billing to Lifestance Health, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 388Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heart Centered Counseling, PC's NPI number?
The NPI number for Heart Centered Counseling, PC is 1104405562. It was assigned to this organization in the NPPES registry on April 5, 2021. The provider is doing business as Lifestance Health.
Where is Heart Centered Counseling, PC located?
Heart Centered Counseling, PC is located at 777 29th St Ste 500, Boulder, CO 80303. The listed phone number is (970) 310-3406.
What is Heart Centered Counseling, PC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Heart Centered Counseling, PC enrolled in Medicare?
Yes. Heart Centered Counseling, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heart Centered Counseling, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 388 clinicians in 6 Medicare specialties reassign their Medicare billing to Heart Centered Counseling, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (173), Clinical Social Worker (104) and Nurse Practitioner (72). Of these, 7 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heart Centered Counseling, PC was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lifestance Health · NPI 1104405562
Mental Health organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1104405562 (Entity type: Organization)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Legal business name:** Heart Centered Counseling, Pc
- **Organization subpart:** No
- **Authorized official:** Ryan Pardo, CHIEF LEGAL OFFICER
## Practice location
- **Address:** 777 29TH ST STE 500, Boulder, CO 80303-2357
- **Phone:** (970) 310-3406
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 388 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (173), Clinical Social Worker (104), Nurse Practitioner (72); 7 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1104405562/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104405562) · Data from the CMS NPPES public registry.