Active NPI
Mary Emma Fawcett, MFTC
- Marriage & Family Therapist
- Broomfield, CO
National Provider Identifier
1801407382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0014311
- Practice address
- 12303 Airport Way Ste 125
Broomfield, CO 80021-2729 - Phone
- (970) 310-3406
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCC.0017575 | CO | |
| Marriage & Family Therapist | 106H00000X | MFTC.0014311 | CO | Primary |
Addresses
Primary practice location
12303 Airport Way Ste 125
Broomfield, CO 80021-2729
Mailing address
2950 Tennyson St
Denver, CO 80212-3029
Phone (303) 433-2541
Other practice location 1
Tennyson Center For Children
2950 Tennyson St
Denver, CO 80212
Phone (303) 433-2541
Other practice location 2
2950 Tennyson St
Denver, CO 80212-3029
Phone (303) 433-2541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC.0017575 | Medicaid | CO |
Other names 1
- Mary Schimke
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0017575 | CO | MD | Counselor |
| MFTC.0014311 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1801407382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 TENNYSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802123029",
"telephone_number": "303-433-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12303 AIRPORT WAY STE 125",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800212729",
"telephone_number": "970-310-3406"
}
],
"practiceLocations": [
{
"address_1": "Tennyson Center For Children",
"address_2": "2950 Tennyson St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80212",
"country_code": "US",
"telephone_number": "303-433-2541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2950 Tennyson St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802123029",
"country_code": "US",
"telephone_number": "303-433-2541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAWCETT",
"first_name": "MARY",
"middle_name": "EMMA",
"credential": "MFTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPCC.0017575",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0014311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LPCC.0017575",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "SCHIMKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.