Heidi Jaye Fedor, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1931 Issued in CO

Practice address

350 Broadway St
Suite 205
Boulder, CO 80305-3343

Phone

(303) 494-5226

NPI assigned

Apr 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1386767200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 THUNDER LAKE CIR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269446",
            "telephone_number": "303-579-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST",
            "address_2": "SUITE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053343",
            "telephone_number": "303-494-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOR",
        "first_name": "HEIDI",
        "middle_name": "JAYE",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "460",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Alexander John Faulkner, LPCC
• Steven G Faust, PT
• Jessica Fawcett, CD
• Danielle Feaster
• Theresa Fedak, FNP-BC
• Yevgeniy Fedorov
• Feel Play Grow
• Emily Rose Feero, DC
• Feet Forward - Peer Services and Outreach
• Crystal Paula Fegenbush, MA

• Professional Counselor in Boulder, CO
• Providers in Boulder, 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 5, 2017; 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.