Rebecca Thate Baldasaro, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.1001737-NP Issued in CO

Practice address

1301 Riverside Ave
Fort Collins, CO 80524-4374

Phone

(970) 888-4070

NPI assigned

Jan 14, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liv in-Home Counseling and Care Management, LLCGroup PAC ID 5698992352, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Liv in-Home Counseling & Care Management, LLC

  dba LIV Health

  • Primary Care Clinic/Center
  • Cheyenne, WY
  • NPI 1740604057

  CO, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Blue Bison Psychiatry, LLC

  • Psychiatry Physician
  • Ault, CO
  • NPI 1700721701
  NPD Authorized official

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1457219784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 DUSTY SAGE CT UNIT 4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263753",
            "telephone_number": "970-420-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERSIDE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244374",
            "telephone_number": "970-888-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40047 County Road 31",
            "address_purpose": "LOCATION",
            "city": "Ault",
            "state": "CO",
            "postal_code": "806109721",
            "country_code": "US",
            "telephone_number": "970-420-3756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDASARO",
        "first_name": "REBECCA",
        "middle_name": "THATE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1001737-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L Baker
• Ronald L Baker, D.D.S.
• Susan D Baker, BC-HIS
• Julia Bala
• Balanced Health Chiropractic PLLC
• Jeffrey Baldwin, CMT, RMT
• Kristen Balk, PT, DPT
• Charles Hardy Ball
• Jodie Olga Ball, LCSW, LAC
• Brittany Kaye Ballard, DMD

• Psychiatric/Mental Health Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.