Individual provider Active NPI

Lydia Linke, M.S.

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1669721957
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1028 Issued in CO
Practice address
1516 Remington St
Fort Collins, CO 80524-4140
Phone
(970) 484-7447
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1028 CO Primary
Marriage & Family Therapist 106H00000X 013245 CO
Marriage & Family Therapist 106H00000X 11807 CO

Addresses

Primary practice location

1516 Remington St
Fort Collins, CO 80524-4140

Mailing address

1225 W Prospect Rd
Apt R47
Fort Collins, CO 80526-5632

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 Science

State licenses

LicenseStateTypeSpecialty
1028COMDAddiction (Substance Use Disorder) Counselor
013245COMDMarriage & Family Therapist
11807COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midway Youth Services, Inc Past Accepting new patients

Organizations & group practices 1

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": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1669721957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W PROSPECT RD",
            "address_2": "APT R47",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 REMINGTON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244140",
            "telephone_number": "970-484-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINKE",
        "first_name": "LYDIA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1028",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "013245",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "11807",
            "primary": false
        }
    ],
    "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 Sep 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.