Active NPI
Lindsay Fahey, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1548716186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016471
- Practice address
- 1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-5221
- Fax
- (719) 365-8980
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 | |||
| Professional Counselor | 101YP2500X | LPC.0016471 | CO | Primary |
Addresses
Primary practice location
1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Mailing address
1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Other practice location 1
1099 Jay St Bldg J
Rochester, NY 14611-1153
Phone (585) 328-0834 ext. 592
Other practice location 2
81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548716186 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
870 S Colorado Blvd
Suite 1067
Denver, CO 80246-2080
Phone (248) 704-5837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016471 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa of Hope | Past | Accepting new patients |
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.
-
- Voluntary or Charitable Agency
- Rochester, NY
- NPI 1578640298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1548716186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST STE 2508",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST STE 2508",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-5221",
"fax_number": "719-365-8980"
}
],
"practiceLocations": [
{
"address_1": "1099 Jay St Bldg J",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146111153",
"country_code": "US",
"telephone_number": "585-328-0834 x592",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "81 Lake Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "14608",
"country_code": "US",
"telephone_number": "585-368-6901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAHEY",
"first_name": "LINDSAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548716186",
"state": "NY"
}
],
"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 Apr 15, 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.