Active NPI
Mark Maxwell Ziegenhagen, MA, MFTC
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1467938589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0013684
- Practice address
- 7680 Goddard St Ste 216
Colorado Springs, CO 80920-8232 - Phone
- (719) 299-1626
- Fax
- (970) 658-1027
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTC.0013684 | CO | Primary |
Addresses
Primary practice location
7680 Goddard St Ste 216
Colorado Springs, CO 80920-8232
Mailing address
7680 Goddard St Ste 216
Colorado Springs, CO 80920-8232
Phone (707) 338-3329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTC.0013684 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1467938589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7680 GODDARD ST STE 216",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208232",
"telephone_number": "707-338-3329",
"fax_number": "970-658-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7680 GODDARD ST STE 216",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208232",
"telephone_number": "719-299-1626",
"fax_number": "970-658-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGENHAGEN",
"first_name": "MARK",
"middle_name": "MAXWELL",
"credential": "MA, MFTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0013684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.