Individual provider Active NPI

Robert Fyfe, LPC

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1396112389
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0016875 Issued in CO
Practice address
6655 W Jewell Ave Ste 215
Lakewood, CO 80232-7108
Phone
(314) 467-0155
Fax
(314) 552-7191
NPI assigned
Aug 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2015029909 MO
Mental Health Counselor 101YM0800X LPC.0016875 CO Primary

Addresses

Primary practice location

6655 W Jewell Ave Ste 215
Lakewood, CO 80232-7108

Mailing address

2384 S Hoyt St
Lakewood, CO 80227-2234
Phone (314) 467-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231211002852 MO Practitioner - Mental Health Counselor 5294184602 Practice locations: Kirkwood, MO
I20240119001590 CO Practitioner - Mental Health Counselor 5294184602 Practice locations: Lakewood, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6655 W Jewell Ave
Suite 215
Lakewood, CO 80232-7108
Phone (314) 467-0155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0016875COMDMental Health Counselor
2015029909MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1396112389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 S HOYT ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272234",
            "telephone_number": "314-467-0155",
            "fax_number": "314-552-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W JEWELL AVE STE 215",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327108",
            "telephone_number": "314-467-0155",
            "fax_number": "314-552-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYFE",
        "first_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2015029909",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.