Individual provider Active NPI

Douglas Watson Blocksma, MA, LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1154687465
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012484 Issued in CO
Practice address
375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197
Phone
(970) 310-3406
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC-13914 CO
Professional Counselor 101YP2500X LPC.0012484 CO Primary

Addresses

Primary practice location

375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197

Mailing address

375 E Horsetooth Rd BLDG 3101
Fort Collins, CO 80525-3197
Phone (970) 310-3406

Other identifiers 1

IdentifierTypeStateIssuer
27-2932236OtherWYEMPLOYEE IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260221000423 CO Practitioner - Mental Health Counselor 3678054244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 W Oak St
FL 4
Fort Collins, CO 80521-2734

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
NLC-13914COMDMental Health Counselor
LPC.0012484COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health CurrentSince Jan 13, 2026 Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Jan 13, 2026 Accepting new patients

Locations

375 E Horsetooth Rd
Bldg 3101
Fort Collins, CO 80525
Phone (224) 715-0673

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1154687465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 3101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253197",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 3101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253197",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCKSMA",
        "first_name": "DOUGLAS",
        "middle_name": "WATSON",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC-13914",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENTIFICATION NUMBER",
            "identifier": "27-2932236",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.