KIDSTUFF CHILD AND FAMILY COUNSELING, P.C.

Provider Demographics

• NPI: 1396374237
• Name: KIDSTUFF CHILD AND FAMILY COUNSELING, P.C.
• Entity Type: Organization
• Organization Name: KIDSTUFF CHILD AND FAMILY COUNSELING, P.C.
• Authorized Official - Title/Position: DIRECTOR OF OPERATIONS
• Authorized Official - First Name: CHRISTINE
• Authorized Official - Last Name: EVANS
• Authorized Official - Phone: 970-775-7061
• Mailing Address - Street 1: 1440 W. 29TH ST.
• Mailing Address - Street 2: STE. 100
• Mailing Address - City: LOVELAND
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80538
• Mailing Address - Country: US
• Mailing Address - Phone: 970-775-7061
• Mailing Address - Fax: 970-292-8194
• Practice Address - Street 1: 1770 25TH AVE.
• Practice Address - Street 2: STE. 102
• Practice Address - City: GREELEY
• Practice Address - State: CO
• Practice Address - Zip Code: 80634
• Practice Address - Country: US
• Practice Address - Phone: 970-775-7061
• Practice Address - Fax: 970-292-8194
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2020-04-03
• Last Update Date: 2023-12-19

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	101YP1600X	Behavioral Health & Social Service Providers	Counselor	Pastoral	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	104100000X	Behavioral Health & Social Service Providers	Social Worker		Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty
No	221700000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Art Therapist		Group - Multi-Specialty
No	225600000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Dance Therapist		Group - Multi-Specialty
No	225A00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Music Therapist		Group - Multi-Specialty
No	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center	Adolescent and Children Mental Health	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CO	52105083	Medicaid