Individual provider Active NPI

Andrea Laura Pazdera, PHD, LMFT, CFLE

  • Marriage & Family Therapist
  • Aspen, CO
National Provider Identifier
1043507403
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
971 Issued in CO
Practice address
405 Castle Creek Rd
Aspen, CO 81611-3125
Phone
(970) 920-5555
Fax
(970) 920-5557
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 971 CO Primary

Addresses

Primary practice location

405 Castle Creek Rd
Aspen, CO 81611-3125

Mailing address

PO Box 40
Glenwood Springs, CO 81602-0040
Phone (970) 945-2241

Other names 1

  • Andrea Laura Roth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116004219 CO Practitioner - Marriage and Family Therapist 2860844776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

3715 Parkmoor Village Dr
Suite 102
Colorado Springs, CO 80917-5200
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
971COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Oct 4, 2023 Accepting new patients
Family Care Center, LLC Marriage & Family Therapist CurrentSince Oct 4, 2023 Accepting new patients

Locations

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1043507403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020040",
            "telephone_number": "970-945-2241",
            "fax_number": "970-945-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CASTLE CREEK RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816113125",
            "telephone_number": "970-920-5555",
            "fax_number": "970-920-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZDERA",
        "first_name": "ANDREA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, CFLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ROTH",
            "middle_name": "LAURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aspen, CO

Sources for this page

Verify at the official NPI Registry.