Active NPI
Mary K Godfrey, PH.D., LMFT
- Marriage & Family Therapist
- Fort Collins, CO
National Provider Identifier
1912283797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 962
- Practice address
- 218 Peterson St
Mail Box 6
Fort Collins, CO 80524-2986 - Phone
- (970) 231-2945
- NPI assigned
- Oct 25, 2011
- 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 | 962 | CO | Primary |
Addresses
Primary practice location
218 Peterson St
Mail Box 6
Fort Collins, CO 80524-2986
Mailing address
218 Peterson St
Mail Box 6
Fort Collins, CO 80524-2986
Phone (970) 231-2945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 15, 2025 through Jul 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1912283797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 PETERSON ST",
"address_2": "MAIL BOX 6",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242986",
"telephone_number": "970-231-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 PETERSON ST",
"address_2": "MAIL BOX 6",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242986",
"telephone_number": "970-231-2945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "MARY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.