MEDICARE: SARAH K FARRELL LPC

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
1	101YM0800X	Mental Health Counselor	LPCC.0016868	CO
2	101YM0800X	Mental Health Counselor	LPC.0017170	CO

General Provider Information

NPI Number	:	1356977979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH K FARRELL LPC

Provider Business Mailing Address
First Line	:	16258 ONEIDA ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80602-7593
Country	:	US
Telephone Number	:	760-271-6617
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 E 20TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5531
Country	:	US
Telephone Number	:	720-248-7202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2020
Last Update Date	:	01/04/2022

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