Fearlessly Authentic Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FEARLESSLY AUTHENTIC PSYCHOLOGY, LLC

Doing business as

Fearlessly Authentic Psychology

Practice address

777 S Wadsworth Blvd Ste 102
Lakewood, CO 80226-4300

Phone

(913) 208-4241

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Garrison, PSY.D.NPI 1992011373

Title

Clinical Director

Phone

(913) 208-4241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fearlessly Authentic Psychology Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Elaine Garrison, PSY.D.,

  • Psychologist
  • Centennial, CO
  • NPI 1992011373
  NPD Authorized official
• Samantha Sandgren, MA, LPC

  • Mental Health Counselor
  • Littleton, CO
  • NPI 1568237345
  NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1780312298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S CARR ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263015",
            "telephone_number": "913-208-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WADSWORTH BLVD STE 102",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264300",
            "telephone_number": "913-208-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEARLESSLY AUTHENTIC PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "913-208-4241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992011373",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fearlessly Authentic Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peggy Louise Farrar, M.ED.
• Peter Fathallah, PT
• Erica Faulhaber, MA, NCC, LPC
• Leeanne Faulkner
• Fce Consultant LLC
• Federal Healthcare Inc
• Alison Fedewa, FNP-S
• Karlea Fehr
• Marie Elaine Feldhaus, N/A
• Tina Dawn Fellows-Reinhardt, OTR

• Clinical Psychologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.