Organization Active NPI

Integrative Balance Psychotherapy

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1649621046
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012110 Issued in CO
Legal business name
INTEGRATIVE BALANCE PSYCHOTHERAPY
Practice address
1136 E Stuart St Ste 2240
Fort Collins, CO 80525-5315
Phone
(970) 238-0268
Fax
(833) 645-2560
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Mr. Wesley Marshall Bowman, MSED, LPCNPI 1962826974
Title
Psychotherapist
Phone
(970) 238-0268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC.0012110 CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 2240
Fort Collins, CO 80525-5315

Mailing address

1182 Graves Ave Unit C
Suite #2
Estes Park, CO 80517-7742
Phone (970) 238-0268

National Provider Directory

National Provider Directory
Tax ID family
Integrative Balance Psychotherapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1649621046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 GRAVES AVE UNIT C",
            "address_2": "SUITE #2",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177742",
            "telephone_number": "970-238-0268",
            "fax_number": "970-692-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 2240",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255315",
            "telephone_number": "970-238-0268",
            "fax_number": "833-645-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BALANCE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "970-238-0268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012110",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 24, 2026; 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.