MR. FREDRICK CARL WIDMAN (NPI# 1568851392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568851392 |
| Entity Type | Individual |
| Full Name | MR. FREDRICK CARL WIDMAN |
| Credential | CAC II, CADC II, CDP |
| Practice Address |
11160 Huron St Ste 32 Northglenn CO 80234-3335 |
| Practice Telephone | 7205109115 |
| Practice Fax Number | 7205109103 |
| Mailing Telephone | 7205109115 |
| Mailing Fax Number | 7205109103 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB.0008070 | CO | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP 60144815 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13-R-26 | OR | Behavioral Health & Social Service Providers |
| Street Address |
11160 HURON ST STE 32 |
| City | NORTHGLENN |
| State | CO |
| Zip Code | 80234-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375115 | Jeanne Weintraub | Counselor | Griffith Centers for Children, 10465 Melody Dr Suite 325, Northglenn, CO 80234 | 2020-08-07 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1114409638 | Selathia Chestnut | Behavior Technician | 11698 Huron St., #106, Northglenn, CO 80234 | 2018-08-30 |
| 1194271478 | Alyssa Cure | Occupational Therapist | 11160 Huron Street, Suite 200, Northglenn, CO 80234 | 2016-08-28 |
| 1316492911 | The Hearing & Tinnitus Center | Audiologist-Hearing Aid Fitter | 1001 W. 120th Ave Suite 214, Westminster, CO 80234 | 2016-08-24 |
| 1386005791 | Rachel T Kraut | Registered Nurse | 1401 W 122nd Ave Ste 200, Westminster, CO 80234 | 2016-03-11 |
| 1780064469 | Mountain View Dental Northgleen LLC | Dentist | 421 W. 104th Ave, Suite 201, Northglenn, CO 80234 | 2015-06-08 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1306279492 | Jennifer Nicole Dahlke | Speech-Language Pathologist | 12201 Pecos St., Suite 200, Westminster, CO 80234 | 2013-08-13 |
| 1336588490 | America's Best Contacts & Eyeglasses | Technician/Technologist | 521 W 104th Ave, Suite J, Northglenn, CO 80234 | 2013-06-21 |
| Find all providers in zip 80234 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780198325 | Michelle Counts | Counselor | 11658 Huron St Ste 400, Northglenn, CO 80234-2922 | 2017-11-17 |
| 1841666245 | Chandra J Brandt | Counselor | 2008 W 120th Ave Ste A5, Northglenn, CO 80234-2450 | 2015-08-19 |
| 1740608959 | Jose Alejandro Castro | Counselor | 10699 Melody Dr Ste 2, Northglenn, CO 80234-4131 | 2014-04-03 |
| 1730428145 | April Zink | Counselor | 2002 W 120th Ave, Suite 1, Northglenn, CO 80234-2433 | 2013-02-05 |
| 1639414378 | Annika Elizabeth Papke | Counselor | 10465 Melody Dr Ste 226, Northglenn, CO 80234 | 2012-12-06 |
| 1578854717 | Julia R Smith | Counselor | 11172 Huron St # 25a, Northglenn, CO 80234-4380 | 2011-04-21 |
| 1912223355 | Jacob Andrew Hernandez | Counselor | 11750 Lincoln St, Northglenn, CO 80233-1107 | 2010-04-09 |
| 1073767448 | Linda G. Cagle | Counselor | 10701 Melody Dr., Suite 340, Northglenn, CO 80234 | 2008-11-11 |
| 1801040696 | Bi Incorporated | Counselor | 506 Malley Dr, Northglenn, CO 80233-1928 | 2008-11-06 |
| 1023078482 | Dawn Elizabeth King | Counselor | 11285 Highline Dr, Northglenn, CO 80233-3076 | 2006-03-27 |
| Find all providers in NORTHGLENN | ||||
| City | NORTHGLENN |
| Zip Code | 80234 |
Please comment or provide details below to improve the information on MR. FREDRICK CARL WIDMAN.
| 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.