NPIMap

Organization Active NPI

Momentum Counseling and Consulting LLC

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1306541453
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MOMENTUM COUNSELING AND CONSULTING LLC
Practice address
1035 Coffman St Ste 201
Longmont, CO 80501-4363
Phone
(970) 829-8780
Fax
(970) 341-2074
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Dr. Damond Dotson, PHD, LMFT
Title
Billing Manager
Phone
(970) 576-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1035 Coffman St Ste 201
Longmont, CO 80501-4363

Mailing address

2120 Milestone Dr Ste 103
Fort Collins, CO 80525-5761
Phone (970) 829-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419001098 CO Part B Supplier - Clinic/Group Practice 3779922083 Receives reassigned benefits from 30 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arvada, CO; Fort Collins, CO; Longmont, CO; Loveland, CO

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Momentum Counseling Consulting LLC40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

1035 Coffman St
Ste 201
Longmont, CO 80501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1306541453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MILESTONE DR STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255761",
            "telephone_number": "970-829-8780",
            "fax_number": "970-341-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 COFFMAN ST STE 201",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014363",
            "telephone_number": "970-829-8780",
            "fax_number": "970-341-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "DAMOND",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "970-576-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.