LIFESTANCE HEALTH
NPI 1972145068
Counselor - Mental Health in Fort Collins, CO

Active since October 10, 2019
1537 RIVERSIDE AVE, FORT COLLINS, CO 80524(970) 310-3406(888) 965-4615 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Nov 17, 2023, Jan 15, 2021 and 2 more (5 updates tracked since 2019).

About Lifestance Health NPPES

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

LIFESTANCE HEALTH (NPI 1972145068) is a healthcare organization registered as a mental health in Fort Collins, Colorado and active in the NPI registry since October 2019. The organization lists Ryan Pardo, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1972145068
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameHEART CENTERED COUNSELING, PC
Location Address1537 RIVERSIDE AVEFort Collins, CO 80524-4386
Mailing Address215 W Oak St Fl 4Fort Collins, CO 80521-2734 · (970) 310-3406 · Fax (888) 965-4615
Fax(888) 965-4615
Organization SubpartNo
Authorized OfficialRyan PardoChief Legal Officer · (206) 399-1493
Enumeration DateOctober 10, 2019
Last NPPES UpdateApril 24, 20245 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1972145068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1537 RIVERSIDE AVE, Fort Collins, CO 80524

Other Names 1

Doing Business AsLifestance Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Professional)
1537 RIVERSIDE AVE
FORT COLLINS, CO 80524
Counselor (Professional)
1537 RIVERSIDE AVE
FORT COLLINS, CO 80524
Social Worker (Clinical)
1537 RIVERSIDE AVE
FORT COLLINS, CO 80524
Counselor (Professional)
1537 RIVERSIDE AVE
FORT COLLINS, CO 80524

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972145068, enumerated as an "organization" on October 10, 2019.

The provider is located at 1537 RIVERSIDE AVE FORT COLLINS, CO 80524 and the phone number is (970) 310-3406.

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