Spectrum Therapy, PLLC
NPI 1912861642 · Clinical Social Worker · Evans, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spectrum Therapy, PLLC is a Clinical Social Worker organization in Evans, CO (NPI 1912861642).
Provider details
- NPI number
- 1912861642
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kellan Stack, Owner(970) 689-6388
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Spectrum Therapy, PLLC's NPI number?
- Spectrum Therapy, PLLC's National Provider Identifier (NPI) is 1912861642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Therapy, PLLC?
- Spectrum Therapy, PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Spectrum Therapy, PLLC located?
- Spectrum Therapy, PLLC's practice location on file with NPPES is 2441 Shooting Star Way, Evans, CO 80620-9243.
- What is Spectrum Therapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Therapy, PLLC is (970) 236-1798.
- Does Spectrum Therapy, PLLC accept Medicare?
- Spectrum Therapy, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spectrum Therapy, PLLC?
- The authorized official listed on Spectrum Therapy, PLLC's NPPES record is Kellan Stack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Therapy, PLLC's NPI active?
- Yes — Spectrum Therapy, PLLC's NPI (1912861642) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.