Provider Demographics
NPI:1649897489
Name:SCHNEIDER, L PARKER E (MA, LPC)
Entity type:Individual
Prefix:
First Name:L PARKER
Middle Name:E
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:PARKER
Other - Middle Name:E
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:PO BOX 1364
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80522-1364
Mailing Address - Country:US
Mailing Address - Phone:720-378-4662
Mailing Address - Fax:
Practice Address - Street 1:3333 IRIS AVE STE 102
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1955
Practice Address - Country:US
Practice Address - Phone:720-378-4662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-27
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0016271101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health