Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Flavia Feijo Fucetola, LPC

Individual provider Mental Health Counselor · NPI 1053715961

Flavia Feijo Fucetola, LPC is a Mental Health Counselor in Fort Collins, Colorado. Qualified in 2014, 12 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
12
Licensed in
CO
In the registry since
2014
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4601 Corbett Dr
Fort Collins, CO 80528-9579
Phone: (970) 207-4857
Fax: (970) 207-4885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 415 Neponset Ave, Dorchester, MA 02122-3168 — (857) 217-3700
  • 100 George P Hassett Dr, Medford, MA 02155-3258 — (781) 393-4828

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0018096 (CO)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1053715961
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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