Individual provider Active NPI

Cait Olde, LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1215744792
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0019803 Issued in CO
Practice address
2120 Milestone Dr Ste 103
Fort Collins, CO 80525-5761
Phone
(970) 829-8780
NPI assigned
Dec 17, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0019803 CO Primary

Addresses

Primary practice location

2120 Milestone Dr Ste 103
Fort Collins, CO 80525-5761

Mailing address

1625 Dogwood CT
Fort Collins, CO 80525-2022

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
I20250201000005 CO Practitioner - Mental Health Counselor 4486183621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019803COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consulting LLC Professional CurrentSince Jan 1, 2025 Accepting new patients
Momentum Counseling and Consulting LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

2120 Milestone Dr
Ste 103
Fort Collins, CO 80525
Phone (719) 789-7041

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1215744792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DOGWOOD CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MILESTONE DR STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255761",
            "telephone_number": "970-829-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDE",
        "first_name": "CAIT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0019803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.