Individual provider Active NPI

James W Edgar, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1841319951
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 588 Issued in CO
Practice address
2790 N Academy Blvd Ste 312
Colorado Springs, CO 80917-5347
Phone
(719) 569-0292
Fax
(719) 444-0253
NPI assigned
Mar 28, 2007
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 588 CO Primary

Addresses

Primary practice location

2790 N Academy Blvd Ste 312
Colorado Springs, CO 80917-5347

Mailing address

6102 Corinth Dr
Colorado Springs, CO 80923-7545
Phone (719) 569-0292

Other identifiers 1

IdentifierTypeStateIssuer
90531256MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231212001306 CO Practitioner - Marriage and Family Therapist 7719336072

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

41 Montebello Rd
Suite 204
Pueblo, CO 81001-1366

41 Montebello Rd
Suite 204
Pueblo, CO 81001-1379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT 588COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1841319951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 CORINTH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237545",
            "telephone_number": "719-569-0292",
            "fax_number": "719-444-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 N ACADEMY BLVD STE 312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175347",
            "telephone_number": "719-569-0292",
            "fax_number": "719-444-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT 588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90531256",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.