Individual provider Active NPI

Paula R Cannon Gable, LMFT, LAC

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1356961072
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0001960 Issued in CO
Practice address
300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154
Phone
(303) 357-9743
Fax
(303) 985-7882
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 MFT.0001960 CO Primary

Addresses

Primary practice location

300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154

Mailing address

3027 Knolls End Dr Unit 5
Fort Collins, CO 80526-5827
Phone (303) 357-9743

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

State licenses

LicenseStateTypeSpecialty
MFT.0001960COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thecoollineorg Current Accepting new patients
Thecoollineorg Marriage & Family Therapist CurrentSince Jul 16, 2023 Accepting new patients

Locations

300 E Horsetooth Rd
Ste 200
Fort Collins, CO 80525
Phone (405) 474-4833

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1356961072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 KNOLLS END DR UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265827",
            "telephone_number": "303-357-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "303-357-9743",
            "fax_number": "303-985-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABLE",
        "first_name": "PAULA R",
        "middle_name": "CANNON",
        "name_prefix": "Dr.",
        "credential": "LMFT, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 2023; 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.