Individual provider Active NPI

Karen Elizabeth Anderson Fagan, LPC

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1407078728
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1686 Issued in CO
Practice address
2101 S Blackhawk St Ste 180
Aurora, CO 80014-1475
Phone
(303) 380-1858
Fax
(303) 639-3224
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1686 CO Primary

Addresses

Primary practice location

2101 S Blackhawk St Ste 180
Aurora, CO 80014-1475

Mailing address

2101 S Blackhawk St Ste 180
Aurora, CO 80014-1475
Phone (303) 380-1858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241218004106 CO Practitioner - Mental Health Counselor 3274060959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1506 Main St
Strasburg, CO 80136-9525
Phone (303) 380-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1686COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychedin Professional CurrentSince Oct 22, 2024 Accepting new patients
Psyched-in Professional Past Accepting new patients

Locations

2101 S Blackhawk St
Ste 180
Aurora, CO 80014
Phone (303) 380-1858

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1407078728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 180",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "303-380-1858",
            "fax_number": "303-639-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 180",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "303-380-1858",
            "fax_number": "303-639-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON FAGAN",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.