Individual provider Active NPI

Vanessa Robertson

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1720690720
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
215 W Oak St Ste 400
Fort Collins, CO 80521-2730
Phone
(919) 717-1479
NPI assigned
Aug 20, 2020
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X LPCC.0018341 CO

Addresses

Primary practice location

215 W Oak St Ste 400
Fort Collins, CO 80521-2730

Mailing address

3769 W 25TH St Unit A801
Greeley, CO 80634-4334
Phone (919) 717-1479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024000262 CO Practitioner - Mental Health Counselor 5890228225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0018341COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yes and Therapy LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

2120 S College Ave
Ste 9
Fort Collins, CO 80525
Phone (919) 717-1479

2625 Redwing Rd
Ste 370
Fort Collins, CO 80526
Phone (870) 829-0761

300 Boardwalk Dr
Unit 6A
Fort Collins, CO 80525
Phone (919) 717-1479

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1720690720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 W 25TH ST UNIT A801",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344334",
            "telephone_number": "919-717-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W OAK ST STE 400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212730",
            "telephone_number": "919-717-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2021-09-21",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0018341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.