Provider Demographics
NPI:1174498356
Name:WEBER, MELISSA FAIR (LPCC, ADDC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:FAIR
Last Name:WEBER
Suffix:
Gender:F
Credentials:LPCC, ADDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7313 SILVERHORN DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-5214
Mailing Address - Country:US
Mailing Address - Phone:512-922-2222
Mailing Address - Fax:
Practice Address - Street 1:5340 S QUEBEC ST STE 205N
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1910
Practice Address - Country:US
Practice Address - Phone:720-536-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000588101YA0400X
CO0022615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)