✓ Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) (101YA0400X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

TAMICA AVALOS, LPCC (NPI #1013894203)

Counselor, Addiction (Substance Use Disorder) • STERLING, CO • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1013894203
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YA0400X
Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)
Box 32 Service Location & ZIP+4
12220 HIGHWAY 61, STERLING, CO, 80751-8902
✓ 9-Digit EDI 837 ZIP+4 (80751-8902)
Practice Phone & Referral Fax
Fax: (833) 423-7002
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1013894203 (TAMICA AVALOS, LPCC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
No
Power Mobility
No
Hospice Referring
No

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1013894203 (NPI-1 Individual Practitioner)
Provider / Legal NameTAMICA AVALOS, LPCC
Plain-English SpecialtyLicensed & Credentialed Counselor, Addiction (Substance Use Disorder)
NUCC Code: 101YA0400X (Counselor, Addiction (Substance Use Disorder))
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address12220 HIGHWAY 61, STERLING, CO, 80751-8902
Practice Telephone / FaxTel: (970) 964-2763 | Fax: (833) 423-7002
Administrative Mailing Address12220 HIGHWAY 61, STERLING, CO, 80751-8902
Enumeration & Last SyncEnumerated: 2025-08-19 | CMS Record Updated: 2025-09-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12220 HIGHWAY 61, STERLING, CO, 80751-8902

🗺️ Open in Google Maps 🏥 More Providers in STERLING

Plain-English Taxonomy & CMS Crosswalk (101YA0400X)

What Does Taxonomy Code 101YA0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YA0400X translates to:
"Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Addiction (Substance Use Disorder) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TAMICA AVALOS, LPCC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
101YM0800X — Counselor, Mental Health
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor
State: CO | License: LPCC.0022886 | Primary: Secondary
101YA0400X — Counselor, Addiction (Substance Use Disorder)
Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)
State: CO | License: ACD.0002801 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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