Healthcare Provider Details

I. General information

NPI: 1902609720
Provider Name (Legal Business Name): DANIEL SCHELLENGER LAC, LPC, ADDC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12220 HIGHWAY 61
STERLING CO
80751-8902
US

IV. Provider business mailing address

111 ASH AVE
FLEMING CO
80728-9508
US

V. Phone/Fax

Practice location:
  • Phone: 970-964-2763
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0023920
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0002839
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: