Active NPI
Mary Questad, MS
- Counselor
- Fort Collins, CO
National Provider Identifier
1932501400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NLC.0103427
- Practice address
- 4115 Boardwalk Dr
Fort Collins, CO 80525-5945 - Phone
- (206) 765-7528
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NLC.0103427 | CO | Primary |
| Marriage & Family Therapist | 106H00000X | MFT.0001341 | CO |
Addresses
Primary practice location
4115 Boardwalk Dr
Fort Collins, CO 80525-5945
Mailing address
4115 Boardwalk Dr
Fort Collins, CO 80525-5945
Phone (206) 765-7528
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0103427 | CO | MD | Counselor |
| MFT.0001341 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1932501400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 BOARDWALK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255945",
"telephone_number": "206-765-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 BOARDWALK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255945",
"telephone_number": "206-765-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESTAD",
"first_name": "MARY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "NLC.0103427",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT.0001341",
"primary": false
}
],
"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 Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.