Individual provider Active NPI

Patricia G Ferguson, LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1447766647
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0013991 Issued in CO
Practice address
4803 Innovation Dr Ste 3a
Fort Collins, CO 80525-7308
Phone
(970) 310-3406
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 LPC.0013991 CO
Professional Counselor 101YP2500X LPC.0013991 CO Primary

Addresses

Primary practice location

4803 Innovation Dr Ste 3a
Fort Collins, CO 80525-7308

Mailing address

4803 Innovation Dr Ste 3a
Fort Collins, CO 80525-7308
Phone (970) 310-3406

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
I20240917004491 CO Practitioner - Mental Health Counselor 8820539893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

4803 Innovation Dr
Suite 3a
Fort Collins, CO 80525-7308
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0013991COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health CurrentSince Aug 5, 2024 Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Aug 5, 2024 Accepting new patients
Heart Centered Counseling, PC Mental Health Current Accepting new patients
Human Interpersonal Services Mental Health Past Accepting new patients

Locations

4803 Innovation Dr
Ste 3A
Fort Collins, CO 80525
Phone (269) 313-5094

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 4

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": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1447766647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR STE 3A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257308",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR STE 3A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257308",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0013991",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.