Individual provider Active NPI

Freya Meraki, PSY.D.

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1831511377
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005132 Issued in CO
Practice address
300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154
Phone
(970) 682-4044
NPI assigned
Jan 17, 2014
Reactivated
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0005132 CO Primary
Clinical Psychologist 103TC0700X 2951 OR

Addresses

Primary practice location

300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154

Mailing address

6107 SW Murray Blvd # 190
Beaverton, OR 97008-4421
Phone (970) 682-4044

Other practice location 1

12636 SE Stark St. Plaza 125, Building J
Portland, OR 97233
Phone (503) 253-4600

Other practice location 2

3026 41st Avenue Ct
Greeley, CO 80634
Phone (970) 682-4044

Other practice location 3

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 682-4044

Other names 1

  • Felicia Thomas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address felicia.thomas@merakijourneycounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200414002725 CO Practitioner - Clinical Psychologist 8729418801
I20250108003512 OR Practitioner - Clinical Psychologist 8729418801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0005132COMDClinical Psychologist
2951ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Nov 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Current Accepting new patients
Eugene Therapy LLC Past Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

8505 SW Creekside Pl
Beaverton, OR 97008
Phone (503) 316-6770

8285 SW Nimbus Ave
Ste 130
Beaverton, OR 97008
Phone (503) 610-2044

1306 NW Hoyt St
Ste 407
Portland, OR 97209
Phone (971) 407-3930

Interoperability endpoints

  • Direct secure messaging: freya.meraki.1@28621.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1831511377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 SW MURRAY BLVD # 190",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084421",
            "telephone_number": "970-682-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "970-682-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12636 SE Stark St. Plaza 125, Building J",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97233",
            "country_code": "US",
            "telephone_number": "503-253-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3026 41st Avenue Ct",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "80634",
            "country_code": "US",
            "telephone_number": "970-682-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Racquette Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244851",
            "country_code": "US",
            "telephone_number": "970-682-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERAKI",
        "first_name": "FREYA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "deactivation_date": "2021-06-29",
        "reactivation_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005132",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "felicia.thomas@merakijourneycounseling.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "208 Racquette Dr",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805244851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "THOMAS",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.