Active NPI
Barbara Luzanne Waldner, LMFT
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1801975487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 409
- Practice address
- 2163 N Academy Blvd
Colorado Springs, CO 80909-1507 - Phone
- (719) 660-8973
- Fax
- (719) 632-6195
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 409 | CO | Primary |
Addresses
Primary practice location
2163 N Academy Blvd
Colorado Springs, CO 80909-1507
Mailing address
2163 N Academy Blvd
Colorado Springs, CO 80909-1507
Phone (719) 660-8973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144166 | Other | CO | VALUE OPTIONS INSURANCE C |
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 |
|---|---|---|---|
| 409 | CO | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1801975487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2163 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091507",
"telephone_number": "719-660-8973",
"fax_number": "719-632-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2163 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091507",
"telephone_number": "719-660-8973",
"fax_number": "719-632-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDNER",
"first_name": "BARBARA",
"middle_name": "LUZANNE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS INSURANCE C",
"identifier": "144166",
"state": "CO"
}
],
"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 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.