Individual provider Active NPI

Samantha Fiegel, MAT, ATR, LPC

  • Professional Counselor
  • Northglenn, CO
National Provider Identifier
1891242400
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014291 Issued in CO
Practice address
11990 Grant St Ste 550
Northglenn, CO 80233-1101
Phone
(847) 687-2302
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.011973 IL
Professional Counselor 101YP2500X LPC.0014291 CO Primary

Addresses

Primary practice location

11990 Grant St Ste 550
Northglenn, CO 80233-1101

Mailing address

11990 Grant St Ste 550
Northglenn, CO 80233-1101

Other practice location 1

1164 S Acoma St Unit 375
Denver, CO 80210-1648
Phone (847) 687-2302

Other practice location 2

6021 S Syracuse Way Ste 216
Greenwood Village, CO 80111
Phone (303) 843-6000

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

LicenseStateTypeSpecialty
LPC.0014291COMDProfessional Counselor
178.011973ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling Center Past Accepting new patients

Organizations & group practices 1

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1891242400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101",
            "telephone_number": "847-687-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1164 S Acoma St Unit 375",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101648",
            "country_code": "US",
            "telephone_number": "847-687-2302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6021 S Syracuse Way Ste 216",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "80111",
            "country_code": "US",
            "telephone_number": "303-843-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIEGEL",
        "first_name": "SAMANTHA",
        "credential": "MAT, ATR, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011973",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.