MEDICARE: ARIEL FRIESE 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	11347	CO
2	101YP2500X	Professional Counselor	11347	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1376979716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL FRIESE LPC

Provider Business Mailing Address
First Line	:	3030 S COLLEGE AVE UNIT 207
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2557
Country	:	US
Telephone Number	:	970-239-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 S COLLEGE AVE UNIT 207
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2557
Country	:	US
Telephone Number	:	970-239-1320
Fax Number	:

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

Provider Enumeration Date	:	09/17/2013
Last Update Date	:	07/28/2022

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Directions to “ ARIEL FRIESE LPC” Practice Location

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