Individual provider Active NPI

Katherine Andrea Faudel, MS, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1295064186
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
752 Issued in CO
Practice address
525 Albion Way
Fort Collins, CO 80526-3249
Phone
(970) 407-0404
Fax
(970) 207-1961
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 752 CO Primary

Addresses

Primary practice location

525 Albion Way
Fort Collins, CO 80526-3249

Mailing address

525 Albion Way
Fort Collins, CO 80526-3249
Phone (970) 407-0404

Other names 1

  • Ms. Andrea Faudel Professional name

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 Science

State licenses

LicenseStateTypeSpecialty
752COMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1295064186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ALBION WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263249",
            "telephone_number": "970-407-0404",
            "fax_number": "970-207-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ALBION WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263249",
            "telephone_number": "970-407-0404",
            "fax_number": "970-207-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUDEL",
        "first_name": "KATHERINE",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "FAUDEL",
            "prefix": "MS.",
            "credential": "MS, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.