Active NPI
W Douglas Bair, MA, LPC, CAC III
- Counselor
- Frisco, CO
National Provider Identifier
1295811669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1039
- Practice address
- 619 Main St
Frisco, CO 80443 - Phone
- (970) 668-3996
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1039 | CO | Primary |
Addresses
Primary practice location
619 Main St
Frisco, CO 80443
Mailing address
PO Box 4325
Frisco, CO 80443-4325
Phone (970) 668-3996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461 | Other | CO | CAC III |
| 1039 | Other | CO | LPC |
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 |
|---|---|---|---|
| 1039 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295811669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4325",
"city": "FRISCO",
"state": "CO",
"postal_code": "804434325",
"telephone_number": "970-668-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 MAIN ST",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "970-668-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIR",
"first_name": "W",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "MA, LPC, CAC III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "1039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAC III",
"identifier": "1461",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "1039",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.