MS. HEIDI JAYE FEDOR LPC, LMFT
NPI 1386767200
Counselor - Professional in Boulder, CO
- Individual
- Female
- Counselor
- Professional
About HEIDI FEDOR
This page provides the complete NPI Profile along with additional information for Heidi Fedor, a provider established in Boulder, Colorado with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1386767200 assigned on April 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 1931 (CO). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1386767200 Verify this NPI
- Provider Name
- MS. HEIDI JAYE FEDOR LPC, LMFT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 350 BROADWAY ST SUITE 205 BOULDER, CO 80305
- Location Phone
- (303) 494-5226
- Mailing Address
- 2978 THUNDER LAKE CIR LAFAYETTE, CO 80026
- Mailing Phone
- (303) 579-6673
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-07-2007
- Last Update Date
- 06-05-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1931
- License State
- CO
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 460 (CO) |
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
BOULDER, CO 80305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386767200, enumerated as an "individual" on April 07, 2007.
The provider is located at 350 BROADWAY ST SUITE 205 BOULDER, CO 80305 and the phone number is (303) 494-5226.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
