Active NPI
Faren Jane Peterson, LPC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1063867703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0012989
- Practice address
- 1006 Robertson St
BLDG 2
Fort Collins, CO 80524-3900 - Phone
- (197) 077-5706
- NPI assigned
- May 2, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0012989 | CO | Primary |
Addresses
Primary practice location
1006 Robertson St
BLDG 2
Fort Collins, CO 80524-3900
Mailing address
2212 Vermont Dr
Apt E201
Fort Collins, CO 80525-6173
Phone (190) 628-1386
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0012989 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1063867703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 VERMONT DR",
"address_2": "APT E201",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256173",
"telephone_number": "190-628-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 ROBERTSON ST",
"address_2": "BLDG 2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243900",
"telephone_number": "197-077-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "FAREN",
"middle_name": "JANE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012989",
"primary": true
}
],
"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 Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.