North Colorado Behavioral Health of Fort Collins, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1579-01 Issued in CO

Legal business name

NORTH COLORADO BEHAVIORAL HEALTH OF FORT COLLINS, LLC

Practice address

3825 E Mulberry St
Unit 5C
Fort Collins, CO 80524-8574

Phone

(970) 224-0495

Fax

(970) 224-0497

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn P. Anderson, RN

Title

Facility Administrator

Phone

(970) 224-0495

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730217787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 E MULBERRY ST",
            "address_2": "UNIT 5C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805248574",
            "telephone_number": "970-224-0495",
            "fax_number": "970-224-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 E MULBERRY ST",
            "address_2": "UNIT 5C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805248574",
            "telephone_number": "970-224-0495",
            "fax_number": "970-224-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COLORADO BEHAVIORAL HEALTH OF FORT COLLINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "970-224-0495",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1579-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98323032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calidee Noriyuki, RN
• Judith Norman, M.S., M.A., LPC, RPT
• Antuan Norris
• Chelsea Norris, MA, LPC
• Vinna C Norris, D.D.S.
• Karlton North
• Michelle E North, FNP
• Michael J Northcutt
• Roger Lee Northen Jr., DDS
• Norther Colorado AIDS Project

• Addiction (Substance Use Disorder) Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.