| Northern Colorado Counseling Pllc | |
|
3030 S College Ave Unit 207 Fort Collins CO 80525-2557 | |
| (970) 239-1320 | |
| Not Available |
| Full Name | Northern Colorado Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3030 S College Ave Unit 207, Fort Collins, Colorado |
| Authorized Official Name and Position | Ariel H Friese (SOLE MBR) |
| Authorized Official Contact | 9702391320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Colorado Counseling Pllc 3030 S College Ave Unit 207 Fort Collins CO 80525-2557 Ph: (970) 239-1320 | Northern Colorado Counseling Pllc 3030 S College Ave Unit 207 Fort Collins CO 80525-2557 Ph: (970) 239-1320 |
| NPI Number | 1265066799 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 1052757721 |
|---|---|
| Medicare Enrollment ID | O20240315003367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265066799 | NPI | - | NPPES |
| 29513600 | Medicaid | CO |
| Provider Name | Ariel Friese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376979716 PECOS PAC ID: 9032555016 Enrollment ID: I20240313000393 |
| Provider Name | Martha Canji |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427541739 PECOS PAC ID: 7214375179 Enrollment ID: I20240410004075 |
| Provider Name | Rachel Kathleen Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720514680 PECOS PAC ID: 9133569932 Enrollment ID: I20240426001779 |
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