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UNKNOWN PHOENIX LPC, CACIII
NPI 1750672937
Counselor - Professional in Fort Collins, CO

Active since April 22, 2011
1220 S COLLEGE AVE, FORT COLLINS, CO 80524(970) 402-8543(970) 493-9113 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Unknown Phoenix Lpc, Caciii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNKNOWN PHOENIX LPC, CACIII (NPI 1750672937) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (3067) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1750672937
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameUNKNOWN PHOENIXCredential: LPC, CACIII
Location Address1220 S COLLEGE AVEFort Collins, CO 80524-3716
Mailing Address1220 S College AveFort Collins, CO 80524-3716 · (970) 402-8543 · Fax (970) 493-9113
Phone(970) 402-8543
Fax(970) 493-9113
Sole ProprietorYes
Enumeration DateApril 22, 2011
✔ NPI 1750672937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 3067
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 5254 (CO)
1220 S COLLEGE AVE, Fort Collins, CO 80524
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA TESKE
Counselor (Mental Health)
1220 S COLLEGE AVE
FORT COLLINS, CO 80524
Larimer County (970) 829-8823

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 Unknown Phoenix's NPI number?

The NPI number for Unknown Phoenix is 1750672937. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is Unknown Phoenix located?

Unknown Phoenix practices at 1220 S College Ave, Fort Collins, CO 80524. The listed phone number is (970) 402-8543.

What is Unknown Phoenix's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Unknown Phoenix was last updated on April 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.