Spectrum Therapy, Pllc
Spectrum Therapy, Pllc is a healthcare organization registered as Clinical Social Worker in Evans, CO, holding Type 2 (organization) NPI 1912861642 since 2025. The authorized official on file is Kellan Stack, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912861642 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Spectrum Therapy, Pllc |
| Practice address | 2441 SHOOTING STAR WAY, Evans, CO, 80620 |
| Phone | 9702361798 |
| Enumeration date | 2025-12-16 |
| Last updated in NPPES | 2025-12-16 |
Authorized official
| Name | Kellan Stack |
|---|---|
| Title | Owner |
| Phone | 9706896388 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | — | — |
Copy-ready billing details
Provider: Spectrum Therapy, Pllc NPI: 1912861642 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 2441 SHOOTING STAR WAY, Evans, CO, 80620
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114499811 | Kellan Stack | Individual | Clinical Social Worker | Evans, CO |
Verify this record
Cross-check NPI 1912861642 against the authoritative CMS record: view Spectrum Therapy, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Spectrum Therapy, Pllc?
Who is the authorized official for Spectrum Therapy, Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-16.