Active NPI
Rachael Elaine Coffren, LPC-ATR
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1629475504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0011996
- Practice address
- 109 W Olive St
Fort Collins, CO 80524-2831 - Phone
- (970) 310-3406
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0011996 | CO | Primary |
Addresses
Primary practice location
109 W Olive St
Fort Collins, CO 80524-2831
Mailing address
329 E Elizabeth St
Fort Collins, CO 80524-3705
Phone (970) 846-2849
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240424002070 | CO | Practitioner - Mental Health Counselor | 0143660159 | Practice locations: Fort Collins, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
329 E Elizabeth St
Fort Collins, CO 80524-3705
Phone (970) 846-2849
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011996 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1629475504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 E ELIZABETH ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243705",
"telephone_number": "970-846-2849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W OLIVE ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242831",
"telephone_number": "970-310-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFREN",
"first_name": "RACHAEL",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LPC-ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0011996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.