Individual provider Active NPI

Adam Fyler, MT-BC, LPCC

  • Professional Counselor
  • Fairplay, CO
National Provider Identifier
1235628199
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
548 Front St
Fairplay, CO 80440-5001
Phone
(785) 865-6555
Fax
(844) 265-8622
NPI assigned
May 7, 2018
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0015836 CO
Professional Counselor 101YP2500X Primary
Music Therapist 225A00000X 13551 CO

Addresses

Primary practice location

548 Front St
Fairplay, CO 80440-5001

Mailing address

1330 S Bryant St
Denver, CO 80219-4220
Phone (785) 865-6555

Other practice location 1

1521 S Pearl St
Denver, CO 80210-2634
Phone (785) 865-6555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240423003053 CO Practitioner - Mental Health Counselor 5890134829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sagebrush Counseling LLCGroup PAC ID 4981043916, 3 clinicians

Practice addresses (Care Compare)

1521 S Pearl St
Sagebrush Counseling LLC
Denver, CO 80210-2634
Phone (785) 865-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13551COMDCounselor
0015836COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sagebrush Counseling Mental Health CurrentSince Apr 2, 2024 Accepting new patients
Sagebrush Counseling Mental Health CurrentSince Apr 2, 2024 Accepting new patients
Sagebrush Counseling LLC Mental Health Current Accepting new patients
Sagebrush Counseling LLC Mental Health Past Accepting new patients
Sagebrush Counseling LLC Mental Health Past Accepting new patients
Sagebrush Counseling LLC Mental Health Past Accepting new patients

Locations

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1235628199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S BRYANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194220",
            "telephone_number": "785-865-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 FRONT ST",
            "city": "FAIRPLAY",
            "state": "CO",
            "postal_code": "804405001",
            "telephone_number": "785-865-6555",
            "fax_number": "844-265-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 S Pearl St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802102634",
            "country_code": "US",
            "telephone_number": "785-865-6555",
            "fax_number": "844-265-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FYLER",
        "first_name": "ADAM",
        "credential": "MT-BC, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0015836",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "CO",
            "license": "13551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairplay, CO

Sources for this page

Verify at the official NPI Registry.