Active NPI
Jeffrey David Fay, M.A., LPC, CACIII
- Professional Counselor
- Englewood, CO
National Provider Identifier
1154599322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0011543
- Practice address
- 155 Inverness Dr W
Englewood, CO 80112-5095 - Phone
- (303) 730-8858
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0011543 | CO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0020815 | CO |
Addresses
Primary practice location
155 Inverness Dr W
Englewood, CO 80112-5095
Mailing address
155 Inverness Dr W
Englewood, CO 80112-5095
Phone (303) 730-8858
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 |
|---|---|---|---|
| ACC.0020815 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0011543 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1154599322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 INVERNESS DR W",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125095",
"telephone_number": "303-730-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 INVERNESS DR W",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125095",
"telephone_number": "303-730-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "M.A., LPC, CACIII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0011543",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0020815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.