ANTHONY SEVERTSON (NPI# 1497365431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497365431 |
| Entity Type | Individual |
| Full Name | ANTHONY SEVERTSON |
| Credential | LPC |
| Practice Address |
320 W Olive St Fort Collins CO 80521-2716 |
| Mailing Address |
4825 E Alabama Pl Denver CO 80246-3201 |
| Practice Telephone | 3035250863 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0016362 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DORA | 0016362 | 01 |
| Street Address |
320 W OLIVE ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703652 | Lifespan Family Medical Services | Clinic/Center | 320 W Olive St, Fort Collins, CO 80521-2716 | 2006-11-07 |
| 1477167336 | Psychotherapy | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-09-08 |
| 1265045595 | Alexandra Hogan | Nurse Practitioner | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-08-26 |
| 1821601378 | Margaret Mae Johnson | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-08-25 |
| 1083224695 | Janelle Adrienne Cendana Aguilon | Registered Nurse | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-08-07 |
| 1912524711 | Lacey Dawn Fivecoat | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-06-29 |
| 1003431982 | Elizabeth Poulin-rodriguez | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-06-16 |
| 1144845298 | Blakely Krysten Sjostedt | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-06-15 |
| 1366076358 | Carl Nassar | Counselor | 320 W Olive St, Fort Collins, CO 80521-2716 | 2020-02-27 |
| 1750949228 | Sandra Ellen Fortson | Social Worker | 320 W Olive St, Fort Collins, CO 80521-2716 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978452 | Indepth Therapy, LLC | Counselor | 3307 S College Ave Unit 217, Fort Collins, CO 80525-4196 | 2020-09-25 |
| 1639797988 | Brittany Alley | Counselor | 120 S Bryan Ave Apt 4, Fort Collins, CO 80521-2366 | 2020-07-13 |
| 1962021501 | Cheri Fisher | Counselor | 105 Peterson St, Fort Collins, CO 80524-2917 | 2020-04-14 |
| 1467003350 | Shanna Tipton | Counselor | 924 Glenmoor Dr, Fort Collins, CO 80521-3208 | 2019-09-23 |
| 1114577087 | Rachel Ann Grohs | Counselor | 4025 Automation Way Ste 2, Fort Collins, CO 80525-3446 | 2019-09-12 |
| 1275091118 | Cameron Butler | Counselor | 144 N Mason St Unit 6, Fort Collins, CO 80524-7103 | 2019-03-11 |
| 1710455217 | Amy Lyn Davies | Counselor | 2726 Illinois Dr Apt 203, Fort Collins, CO 80525-3689 | 2018-11-02 |
| 1700378908 | Savannah Rose Cormier | Counselor | 375 E Horsetooth Rd Bldg 3101, Fort Collins, CO 80525 | 2018-06-04 |
| 1649789264 | Jennifer Kelley | Counselor | 1507 Riverside Ave Ste 202, Fort Collins, CO 80524-4382 | 2017-09-26 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
Please comment or provide details below to improve the information on ANTHONY SEVERTSON.
| 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.