Healthcare Provider Details

I. General information

NPI: 1902780182
Provider Name (Legal Business Name): TY DAVID FISCHER MFT-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8471 TURNPIKE DR STE 250
WESTMINSTER CO
80031-7048
US

IV. Provider business mailing address

8471 TURNPIKE DR STE 250
WESTMINSTER CO
80031-7048
US

V. Phone/Fax

Practice location:
  • Phone: 720-425-5510
  • Fax: 303-953-8459
Mailing address:
  • Phone: 720-425-5510
  • Fax: 303-953-8459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number138907
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0003161
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: