Active NPI
Ralph Terry Bohn Jr., REGISTERED THERAPIST
- Mental Health Counselor
- Fort Collins, CO
National Provider Identifier
1174897748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NLC.0105141
- Practice address
- 155 W Harvard St
#401 - Restoration Counseling
Fort Collins, CO 80525-5200 - Phone
- (720) 608-9778
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC.0105141 | CO | Primary |
Addresses
Primary practice location
155 W Harvard St
#401 - Restoration Counseling
Fort Collins, CO 80525-5200
Mailing address
155 W Harvard St
#401 - Restoration Counseling
Fort Collins, CO 80525-5200
Phone (720) 608-9778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NLC.0105141 | Other | CO | DIVISION OF PROFESSIONS AND OCCUPATIONS |
| MC 60371723 | Other | WA | WASHINGTON DEPARTMENT OF HEALTH |
Other names 1
- Mr. Terry Bohn Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 10, 2025 through Jan 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0105141 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1174897748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W HARVARD ST",
"address_2": "#401 - RESTORATION COUNSELING",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255200",
"telephone_number": "720-608-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W HARVARD ST",
"address_2": "#401 - RESTORATION COUNSELING",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255200",
"telephone_number": "720-608-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "RALPH",
"middle_name": "TERRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "REGISTERED THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-29",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0105141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIVISION OF PROFESSIONS AND OCCUPATIONS",
"identifier": "NLC.0105141",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DEPARTMENT OF HEALTH",
"identifier": "MC 60371723",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRY",
"last_name": "BOHN",
"prefix": "MR.",
"suffix": "JR.",
"credential": "M.A.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.