Madeline Frey

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC.0018518 Issued in CO

Practice address

2270 La Montana Way
Colorado Springs, CO 80918-6715

Phone

(866) 333-4635

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paragon Behavioral Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delta, CO
  • NPI 1619710589
  NPD (past)
• Peaks Recovery Centers LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Colorado Springs, CO
  • NPI 1275029902
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1366011553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 LA MONTANA WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 LA MONTANA WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186715",
            "telephone_number": "866-333-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0018518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LPCC.0018518",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madeline@peaksrecovery.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2270 La Montana Way",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809186715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madeline@peaksrecovery.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2270 La Montana Way",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809186715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fresenius Medical Care Colorado Springs, LLC (Liberty Dialysis - Colorado Springs West)
• Fresh Water Counseling, LLC
• Kailyn Frew, LSW
• Andrea Louise Frey Metzger
• Joseph Lewis Frey
• David Freydin
• Marjorie Freymuth
• Lauren Hillary Fricke
• Cody Frie
• Mariel Friedberg Knauss

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.