AMBER CRISP LPC
NPI 1841004678
Counselor - Mental Health in Fort Collins, CO

Active since February 03, 2025PECOS Enrolled
3233 GLACIER CREEK DR, FORT COLLINS, CO 80524(832) 630-8083 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amber Crisp Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER CRISP LPC (NPI 1841004678) is an individual mental health provider in Fort Collins, Colorado, licensed in Colorado (LPC.0021415) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841004678
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMBER CRISPCredential: LPC
Location Address3233 GLACIER CREEK DRFort Collins, CO 80524-1265
Mailing Address3233 Glacier Creek DrFort Collins, CO 80524-1265 · (832) 630-8083
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
NPI 1841004678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CO · LPC.0021415
3233 GLACIER CREEK DR, Fort Collins, CO 80524

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amber Crisp Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628588001
PECOS Enrollment IDI20250606000023
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841004678, enumerated as an "individual" on February 03, 2025.

The provider is located at 3233 GLACIER CREEK DR FORT COLLINS, CO 80524 and the phone number is (832) 630-8083.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.