Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Heidi Jaye Fedor , LPC, LMFT

Counselor - Professional β€’ Boulder, CO

Active NPI 1386767200 Individual Practitioner Female Practitioner
Practice location in NPPES

350 Broadway St, Suite 205
Boulder, CO 803053343

Call 3034945226 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

350 Broadway St
Suite 205

Boulder, CO 803053343

Telephone 3034945226

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boulder and Colorado

334 active clinicians are listed under Counselor - Professional with a practice address in Boulder, CO (6,939 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

1.2% of these 334 clinicians have the CMS telehealth indicator.

4.8% of these 334 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES CO 1931
Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

License # reported to NPPES CO 460

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Jason Atha , DDS

Dentist - General Practice

NPI 1659380996

Doctor of Dental Surgery

Dr. Gordon Gates , DDS

Dentist - Prosthodontics

NPI 1922140219

Doctor of Dental Surgery

NPI 1700951159

Doctor of Philosophy (Ph.D.)

NPI 1730173519

Doctor of Podiatric Medicine

Dr. Carl Skulski , DDS

Dentist - Endodontics

NPI 1689649196

Doctor of Dental Surgery

Dr. Eric Vanzura , DO

Family Medicine

NPI 1114995024

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active June 05, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location June 05, 2017

Registered at 350 BROADWAY ST, SUITE 205, BOULDER, CO 803053343 (Tel: 3034945226)

πŸ“
Updated Business Mailing Address June 05, 2017

Registered at 2978 THUNDER LAKE CIR, LAFAYETTE, CO 800269446 (Tel: 3035796673)

πŸ‘€
Provider Name / Credentials Updated June 05, 2017

Recorded as HEIDI FEDOR, LPC, LMFT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2017

Counselor (license number reported to NPPES: CO 1931)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 350 BROADWAY ST, SUITE 205, BOULDER, CO 803053343 (Tel: 3034945226)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2978 THUNDER LAKE CIR, LAFAYETTE, CO 800269446 (Tel: 3035796673)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as HEIDI FEDOR, LPC, LMFT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: CO 1931)

🟒
Initial NPI Registration & Enumeration April 07, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1386767200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2007
Last Update: June 05, 2017
Sole Proprietor: Yes

Mailing Address

2978 Thunder Lake Cir

Lafayette, CO 800269446

Phone: 3035796673

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.