Active NPI
Danielle Farnan, RBT
- Speech-Language Pathologist
- Colorado Springs, CO
National Provider Identifier
1780286336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0005821
- Practice address
- 8415 Explorer Dr Ste 150
Colorado Springs, CO 80920-1034 - Phone
- (719) 332-4689
- Fax
- (719) 282-1449
- NPI assigned
- Nov 9, 2020
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB608426 | OK | |
| Speech-Language Pathologist | 235Z00000X | SLP.0005821 | CO | Primary |
Addresses
Primary practice location
8415 Explorer Dr Ste 150
Colorado Springs, CO 80920-1034
Mailing address
8415 Explorer Dr
Colorado Springs, CO 80920-1033
Phone (719) 332-4689
Other practice location 1
614 S Main St
Stillwater, OK 74074-4059
Phone (405) 564-3408
Other practice location 2
6965 Tutt Blvd Ste 100A
Colorado Springs, CO 80923-3597
Phone (719) 332-4689
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB608426 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bison Counseling | Current | Accepting new patients | |
| Counseling and Behavioral Specialists of Oklahoma | Past | Accepting new patients |
Locations
614 S Main St
Stillwater, OK 74074
Phone (405) 564-3408
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stillwater, OK
- NPI 1629878178
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stillwater, OK
- NPI 1760975999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1780286336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 EXPLORER DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201033",
"telephone_number": "719-332-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 EXPLORER DR STE 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201034",
"telephone_number": "719-332-4689",
"fax_number": "719-282-1449"
}
],
"practiceLocations": [
{
"address_1": "614 S Main St",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "OK",
"postal_code": "740744059",
"country_code": "US",
"telephone_number": "405-564-3408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6965 Tutt Blvd Ste 100A",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809233597",
"country_code": "US",
"telephone_number": "719-332-4689",
"fax_number": "719-282-1449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARNAN",
"first_name": "DANIELLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "BACB608426",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0005821",
"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 Apr 18, 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.