MIMI FARRELLY-HANSEN (NPI# 1649480740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649480740 |
| Entity Type | Individual |
| Full Name | MIMI FARRELLY-HANSEN |
| Credential | LPC, ATR-BC |
| Practice Address |
7548 Cresthill Dr Longmont CO 80504-7742 |
| Practice Telephone | 3038816280 |
| Practice Fax Number | 3036523738 |
| Mailing Telephone | 3038816280 |
| Mailing Fax Number | 3036523738 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 1182 | CO | Behavioral Health & Social Service Providers |
| X | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LPC | 1182 | 01 |
| Street Address |
7548 CRESTHILL DR |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504-7742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092710 | Ascent Community Services, Inc | Counselor | 720 100 Yearparty Ct Ste A, Longmont, CO 80504-8512 | 2020-10-29 |
| 1982243416 | Elisa Joy Lewis Johnson | Counselor | 825 Delaware Ave Ste 206, Longmont, CO 80501-6169 | 2020-01-01 |
| 1407410145 | Lisa Koets | Counselor | 1446 Hover St Ste 205, Longmont, CO 80501-2485 | 2019-04-29 |
| 1427372127 | Dolores Devargas-schoonover | Counselor | 715 Emery St., Longmont, CO 80501 | 2010-03-24 |
| 1063658136 | Danielle Schlagel | Counselor | 323 3rd Ave, Suite 200, Longmont, CO 80501 | 2008-12-19 |
| 1821209099 | Kathleen A Cundall | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2007-05-26 |
| 1083765507 | Christine Joy Bayless | Counselor | 500 9th Ave, Longmont, CO 80501-4598 | 2007-01-12 |
| 1932205143 | Walter David Revoal | Counselor | 834 S Sherman St, Longmont, CO 80501-6323 | 2006-09-15 |
| 1942314034 | Rhonda Beaupre | Counselor | 500 Kimbark Street, Longmont, CO 80501 | 2006-08-18 |
| 1275134728 | Ascent Community Services, Inc | Counselor | 720 100 Yearparty Ct Ste A, Longmont, CO 80504-8512 | 2020-11-02 |
| Find all providers in LONGMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.