Active NPI
Robert Fyfe, LPC
- Mental Health Counselor
- Lakewood, CO
National Provider Identifier
1396112389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0016875
- 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
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 | 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016875 | CO | MD | Mental Health Counselor |
| 2015029909 | MO | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.