Fountain Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FOUNTAIN WELLNESS, LLC

Practice address

6260 Lookout Rd
Boulder, CO 80301-3685

Phone

(720) 310-8731

NPI assigned

Mar 10, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Bleau

Title

Owner

Phone

(720) 310-8731

Specialties & licenses 2

Addresses

Tax ID family

Fountain Wellness LLC2 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.

• Fountain Wellness, LLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1720958085
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fountain Wellness, LLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1720958085
  NPPES parent name

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1710786025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2762 CENTER PARK WAY",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805132712",
            "telephone_number": "720-310-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 LOOKOUT RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013685",
            "telephone_number": "720-310-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "BLEAU",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-310-8731"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Foster, M.D.
• Rachel Foster, RN
• Aikaterini Fotiou
• Foundation Health
• Foundational Wellness, PLLC
• Jeff Fountain, D.C.
• Guillaume Fouque, P.T.
• Four Elements Counseling LLC
• Four Mile Creek Health
• Sydney Fouts-Hyatt

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.