Active NPI
Melissa Elizabeth Fauser, MA, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1114092533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4717
- Practice address
- 375 W Moreno Ave
Colorado Springs, CO 80905 - Phone
- (719) 572-6200
- Fax
- (719) 572-6299
- NPI assigned
- Nov 21, 2006
- Last updated
- Mar 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 4717 | CO | Primary |
Addresses
Primary practice location
375 W Moreno Ave
Colorado Springs, CO 80905
Mailing address
5400 Kirkwood Blvd SW
Four Oaks
Cedar Rapids, IA 52404
Phone (319) 364-0259
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4717 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Oaks Family and Children's Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Residential Treatment Facility
- Cedar Rapids, IA
- NPI 1710046255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1114092533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 KIRKWOOD BLVD SW",
"address_2": "FOUR OAKS",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52404",
"telephone_number": "319-364-0259",
"fax_number": "866-290-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 W MORENO AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80905",
"telephone_number": "719-572-6200",
"fax_number": "719-572-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUSER",
"first_name": "MELISSA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.