Individual provider Active NPI

Daniel Layne Neudecker, LPCC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1750254710
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0020735 Issued in CO
Practice address
5225 N Academy Blvd Ste 105
Colorado Springs, CO 80918-4097
Phone
(719) 357-7504
NPI assigned
Sep 25, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0020735 CO Primary

Addresses

Primary practice location

5225 N Academy Blvd Ste 105
Colorado Springs, CO 80918-4097

Mailing address

1741 Fallen Pines GRV Apt 312
Colorado Springs, CO 80908-5327

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
I20251029004305 CO Practitioner - Mental Health Counselor 5294224259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Compassion Collaborative, LLCGroup PAC ID 7911343173, 5 clinicians

Practice addresses (Care Compare)

5225 N Academy Blvd
Suite 105
Colorado Springs, CO 80918-4097
Phone (719) 357-7504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0020735COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Compassion Collaborative, LLC Mental Health CurrentSince Oct 17, 2025 Accepting new patients

Locations

5225 N Academy Blvd
Ste 105
Colorado Springs, CO 80918
Phone (719) 357-7504

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": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1750254710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 FALLEN PINES GRV APT 312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N ACADEMY BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184097",
            "telephone_number": "719-357-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUDECKER",
        "first_name": "DANIEL",
        "middle_name": "LAYNE",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0020735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.