Provider Demographics
NPI:1144677576
Name:HALVERSON-RAMOS, FAITH (LPC, LAC, MT-BC)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:HALVERSON-RAMOS
Suffix:
Gender:F
Credentials:LPC, LAC, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 LINCOLN STREET
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1847
Mailing Address - Country:US
Mailing Address - Phone:303-521-2791
Mailing Address - Fax:
Practice Address - Street 1:1361 FRANCIS ST STE 201E
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2512
Practice Address - Country:US
Practice Address - Phone:303-521-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002735101YA0400X
08395225A00000X
CO0011552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000189210Medicaid