Individual provider Active NPI

Lindsey Fitzmaurice, LPC.0016776

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1770075053
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016776 Issued in CO
Practice address
850 23Rd Ave Ste a
Longmont, CO 80501-1115
Phone
(303) 245-0123
NPI assigned
Jun 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0016776 CO Primary

Addresses

Primary practice location

850 23Rd Ave Ste a
Longmont, CO 80501-1115

Mailing address

6471 St Vrain Ranch Blvd
Firestone, CO 80504-9742

Other practice location 1

6471 St Vrain Ranch Blvd
Firestone, CO 80504-9742
Phone (303) 709-7399

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

State licenses

LicenseStateTypeSpecialty
LPC.0016776COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Colorado, LLC Addiction (Substance Use Disorder) 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1770075053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 ST VRAIN RANCH BLVD",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805049742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 23RD AVE STE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011115",
            "telephone_number": "303-245-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6471 St Vrain Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Firestone",
            "state": "CO",
            "postal_code": "805049742",
            "country_code": "US",
            "telephone_number": "303-709-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZMAURICE",
        "first_name": "LINDSEY",
        "credential": "LPC.0016776",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.