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NPI Code Detail

MEDICARE: MS. COLLEEN MARIE TIMPE L.C.S.W. & L.A.C.

MEDICARE: MS. COLLEEN MARIE TIMPE L.C.S.W. & L.A.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor112CO
2101YM0800XMental Health Counselor991696CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265558175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. COLLEEN MARIE TIMPE L.C.S.W. & L.A.C.
Provider Business Mailing Address
First Line : 1644 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525
Country : US
Telephone Number : 970-482-1037
Fax Number :
Provider Business Practice Location Address
First Line : 1644 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1007
Country : US
Telephone Number : 970-482-1037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 09/11/2025

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