Fredrick C. Widman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

FREDRICK C. WIDMAN

Practice address

11160 Huron St Ste 32
Northglenn, CO 80234-3335

Phone

(720) 510-9115

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Penny Widman

Title

Office Manager

Phone

(303) 345-4568

Specialties & licenses 1

Addresses

Other names 1

• Reliant Services LLC Doing business as

Locations

Practitioners 1

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

• Fredrick Carl Widman, CAC II, CADC II, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Northglenn, CO
  • NPI 1568851392
  NPD

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1821875600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MADISON LN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234522",
            "telephone_number": "303-345-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 32",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-510-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICK C. WIDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "WIDMAN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-345-4568"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Foster III, MASSAGE THERAPIST
• Alyssa Marie Fournier
• Brittney Ashney Frankson
• James Earl Franzbrooke, D.O.
• Staci Ace Frederiksen, LCSW
• Reyna Frias
• Tabitha Fricke
• Rachel Friddle
• Andrea Fritz, DC
• Front Range Clinic Inc.

• Addiction (Substance Use Disorder) Counselor in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.