NPIMap

Organization Active NPI

Momentum Counseling and Consulting LLC

  • Marriage & Family Therapist
  • Cheyenne, WY
National Provider Identifier
1689487670
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MOMENTUM COUNSELING AND CONSULTING LLC
Practice address
623 W 20TH St
Cheyenne, WY 82001-3501
Phone
(970) 829-8780
Fax
(970) 341-2074
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MOMENTUM COUNSELING AND CONSULTING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Damond Dotson, PHD, LMFT
Title
Billing and Credentialing Manager
Phone
(970) 576-1717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

623 W 20TH St
Cheyenne, WY 82001-3501

Mailing address

2120 Milestone Dr Ste 103
Fort Collins, CO 80525-5761
Phone (970) 829-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250514000201 WY Part B Supplier - Clinic/Group Practice 3779922083 Receives reassigned benefits from 1 practitioner
Practice locations: Cheyenne, WY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Momentum Counseling Consulting LLC40 organizations share this tax ID, including this one
Part of
Momentum Counseling Consulting LLC

Other organizations with this tax ID 39

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

View all 39

Locations

333 W Drake Rd
Ste 131
Fort Collins, CO 80526
Phone (708) 717-7394

343 W Drake Rd
Ste 240
Fort Collins, CO 80526
Phone (970) 541-0112

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1689487670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MILESTONE DR STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255761",
            "telephone_number": "970-829-8780",
            "fax_number": "970-341-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W 20TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013501",
            "telephone_number": "970-829-8780",
            "fax_number": "970-341-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOMENTUM COUNSELING AND CONSULTING LLC",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "DAMOND",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "970-576-1717",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.