Active NPI
Nicole Ray Warnygora, PHD
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1053533992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2304
- Practice address
- 123 N College Ave Ste 200
Fort Collins, CO 80524-2489 - Phone
- (970) 222-8365
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2304 | CO | Primary |
| Psychologist | 103T00000X | 3102 | CO |
Addresses
Primary practice location
123 N College Ave Ste 200
Fort Collins, CO 80524-2489
Mailing address
P.O. Box 272673
Fort Collins, CO 80527
Phone (970) 222-8365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3102 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1053533992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 272673",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80527",
"telephone_number": "970-222-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N COLLEGE AVE STE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242489",
"telephone_number": "970-222-8365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNYGORA",
"first_name": "NICOLE",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2304",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "3102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.