Individual provider Active NPI

Paul W Collop, LPCC

  • Mental Health Counselor
  • Broomfield, CO
National Provider Identifier
1417428327
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0024014 Issued in CO
Practice address
10497 Jellison Way
Broomfield, CO 80021-3675
Phone
(253) 880-5103
NPI assigned
Dec 17, 2018
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACA.0008337 CO
Mental Health Counselor 101YM0800X LPC.0024014 CO Primary

Addresses

Primary practice location

10497 Jellison Way
Broomfield, CO 80021-3675

Mailing address

13585 Jackson St
Thornton, CO 80241-1419
Phone (253) 880-5103

Other practice location 1

8700 Turnpike Dr Ste 400
Westminster, CO 80031-7033
Phone (661) 489-8680

Other identifiers 1

IdentifierTypeStateIssuer
2077844MedicaidWA

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACA.0008337COMDAddiction (Substance Use Disorder) Counselor
CO60571715WAMDAddiction (Substance Use Disorder) Counselor
LPCC.0021992COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1417428327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13585 JACKSON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802411419",
            "telephone_number": "253-880-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10497 JELLISON WAY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213675",
            "telephone_number": "253-880-5103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Turnpike Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800317033",
            "country_code": "US",
            "telephone_number": "661-489-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLOP",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACA.0008337",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0024014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077844",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.