Individual provider Active NPI

Ryan Michael Burkhart, EDD, LPC

  • Mental Health Counselor
  • Brighton, CO
National Provider Identifier
1255144341
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0012292 Issued in CO
Practice address
596 N Golden Eagle Pkwy
Brighton, CO 80601-4588
Phone
(303) 947-2164
NPI assigned
Jan 31, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0012292 CO Primary

Addresses

Primary practice location

596 N Golden Eagle Pkwy
Brighton, CO 80601-4588

Mailing address

596 N Golden Eagle Pkwy
Brighton, CO 80601-4588
Phone (303) 947-2164

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0012292COMDPhysical Therapy Assistant

Practice roles

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

Locations

343 W Drake Rd
Ste 232
Fort Collins, CO 80526
Phone (708) 717-7394

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": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1255144341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 N GOLDEN EAGLE PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014588",
            "telephone_number": "303-947-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 N GOLDEN EAGLE PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014588",
            "telephone_number": "303-947-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0012292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.