Active NPI
Cathy Mary Funderburk, RN
- Mental Health Counselor
- Grand Junction, CO
National Provider Identifier
1306067871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1712
- Practice address
- 2754 Compass Dr
Suite 377
Grand Junction, CO 81506-8714 - Phone
- (970) 257-2412
- NPI assigned
- May 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1712 | CO | Primary |
| Hospice Registered Nurse | 163WH1000X | 55282 | CO |
Addresses
Primary practice location
2754 Compass Dr
Suite 377
Grand Junction, CO 81506-8714
Mailing address
2754 Compass Dr
Suite 377
Grand Junction, CO 81506-8714
Phone (970) 257-2412
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1712 | CO | MD | Mental Health Counselor |
| 55282 | CO | MD | Hospice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306067871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2754 COMPASS DR",
"address_2": "SUITE 377",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068714",
"telephone_number": "970-257-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2754 COMPASS DR",
"address_2": "SUITE 377",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068714",
"telephone_number": "970-257-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDERBURK",
"first_name": "CATHY",
"middle_name": "MARY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "1712",
"primary": true
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "CO",
"license": "55282",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.