Michelle Fagan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2150 W 29TH Ave Ste 310
Denver, CO 80211-3889

Phone

(720) 923-3033

NPI assigned

Oct 3, 2015

Last updated

Aug 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Brave Embodiment Counseling LLC

  • Professional Counselor
  • Denver, CO
  • NPI 1700421955
  NPD (past)

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1104296060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S MADISON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103630",
            "telephone_number": "860-338-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 29TH AVE STE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113889",
            "telephone_number": "720-923-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802103630",
            "country_code": "US",
            "telephone_number": "860-338-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Faccioli, MSW, LCSW
• Autumn Celia Facktor, NP
• Richel Liva Fadrigo, RN
• Elisa Fadum-Montoya, LCSW
• Megan L Faga, BSN, RN, FNP-C
• Rachel Fagan, LPC
• Frank Karl Fager, DDS
• Kimberly Fagerberg, M.A.
• Laura Fagundes, PA-C
• Shah Fahad, M.D.

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.