NPIMap

Organization Active NPI

Arbor Counseling, LLC

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1407366586
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923862 Issued in CO
Legal business name
ARBOR COUNSELING, LLC
Practice address
1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173
Phone
(413) 854-8898
NPI assigned
Oct 3, 2017
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Eline Potoski, LCSWNPI 1881945160
Title
Therapist/Owner
Phone
(413) 854-8898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09923862 CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173

Mailing address

PO Box 270996
Fort Collins, CO 80527-0996
Phone (709) 889-0038

Other practice location 1

1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173
Phone (970) 889-0038

Other identifiers 1

IdentifierTypeStateIssuer
20487568MedicaidCO

National Provider Directory

National Provider Directory

Locations

3307 S College Ave
Unit 225
Fort Collins, CO 80525
Phone (785) 215-0623

Practitioners & affiliated clinicians

Practitioners 1

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": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1407366586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270996",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805270996",
            "telephone_number": "709-889-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 4101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251173",
            "telephone_number": "413-854-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 E Stuart St Ste 4101",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251173",
            "country_code": "US",
            "telephone_number": "970-889-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARBOR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-05-07",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "POTOSKI",
        "authorized_official_first_name": "ELINE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "413-854-8898",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20487568",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.