Glenda Lee Andresen, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

632 Issued in CO

Practice address

1739 Azalea Dr
#4
Fort Collins, CO 80526-5747

Phone

(970) 217-2026

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polaris Partners Counseling and Consulting LLC 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1346849841

  CO, Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD
• Polaris Partners Counseling and Consulting LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1023974599
  NPD
• Polaris Partners Counseling and Consulting LLC

  • Clinical Social Worker
  • Fort Morgan, CO
  • NPI 1801512140
  NPD
• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1962172635

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144345786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 AZALEA DR",
            "address_2": "#4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265747",
            "telephone_number": "970-217-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 AZALEA DR",
            "address_2": "#4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265747",
            "telephone_number": "970-217-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESEN",
        "first_name": "GLENDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "632",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andora Cleaning
• Lux Elena Andrade Uribe
• Amanda Marie Andreas, RDH
• Tanja Andreas, FNP
• Kristin K Andreen, MD
• Andrew Kensley PT
• Andrew R. Mortensen, D.M.D., P.C.
• Chelsea N Andrews, LCSW, MSW
• Joshua Andrews, PTA
• Lisa Anne Andrews, LPC

• All providers in Fort Collins, CO
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.