JONATHAN L FAGERHOLM
NPI 1568975076
Counselor - Addiction (Substance Use Disorder) in Colorado Springs, CO
About Jonathan L Fagerholm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN L FAGERHOLM (NPI 1568975076) is an individual addiction (substance use disorder) provider in Colorado Springs, Colorado, licensed in Colorado (NLC.0105760) and active in the NPI registry since November 2017.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLORADO SPRINGS, CO 80909
COLORADO SPRINGS, CO 80909
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathan Fagerholm's NPI number?
The NPI number for Jonathan Fagerholm is 1568975076. It was assigned to this individual provider in the NPPES registry on November 7, 2017.
Where is Jonathan Fagerholm located?
Jonathan Fagerholm practices at 112 Iowa Ave Ste 4, Colorado Springs, CO 80909. The listed phone number is (719) 358-7228.
What is Jonathan Fagerholm's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Jonathan Fagerholm was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonathan L Fagerholm · NPI 1568975076
Addiction (Substance Use Disorder) provider in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since November 7, 2017.
## Identity
- **NPI:** 1568975076 (Entity type: Individual)
- **Enumerated:** November 7, 2017
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** NLC.0105760 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 112 IOWA AVE STE 4, Colorado Springs, CO 80909-5947
- **Phone:** (719) 358-7228
## Record status
- **NPPES last updated:** November 7, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1568975076) · Data from the CMS NPPES public registry.