Collaborative Psychological

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COLLABORATIVE PSYCHOLOGICAL

Practice address

503 Remington St Ste 105
Fort Collins, CO 80524-3089

Phone

(907) 221-2693

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Thomas Vnuk, LPCNPI 1205896065

Title

Owner

Phone

(907) 221-2693

Specialties & licenses 1

Addresses

Other names 1

• Thomas Vnuk Sole Member Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Sutton Vnuk, MA LPC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1205896065
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1619728896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 STILLWATER CREEK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 REMINGTON ST STE 105",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243089",
            "telephone_number": "907-221-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "VNUK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-221-2693",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Vnuk Sole Member",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madison Rose Coleman, MD
• Matthew Marion Coleman, NP
• Michael F. Colip, M.D.
• Nanette C Colip, MD
• Collaborative Care OT
• Sariah R Collard
• Colleen K Sidhu
• College Ave Modern Dental Practice, LLC
• Rachel Larae Collier, PT
• Collindale Dental General Partnership

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.