Individual provider Active NPI

Benjamin Dungan

  • Professional Counselor
  • Lafayette, CO
National Provider Identifier
1750824629
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0015877 Issued in CO
Practice address
1455 Dixon Ave
Lafayette, CO 80026-8879
Phone
(303) 443-8500
NPI assigned
Nov 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0015877 CO Primary

Addresses

Primary practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Mailing address

8931 Huron St
Thornton, CO 80260-6806

Other practice location 1

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500 ext. 3759

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
I20250417000740 CO Practitioner - Mental Health Counselor 8527583046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Campesina Family Health ServicesGroup PAC ID 7315850484, 95 clinicians

Practice addresses (Care Compare)

1000 Alpine Ave
Boulder, CO 80304-3406
Phone (303) 443-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0015877COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services CurrentSince Mar 14, 2025 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Mar 14, 2025 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients

Locations

975 North St
Boulder, CO 80304
Phone (303) 440-7941

3180 Airport Rd
Boulder, CO 80301
Phone (303) 378-6668

1000 Alpine Ave
Boulder, CO 80304
Phone (303) 332-1250

1333 Iris Ave
Boulder, CO 80304
Phone (303) 413-6212

897 US Highway 287
Ste 200
Broomfield, CO 80020
Phone (646) 705-2230

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

1455 Dixon Ave
Lafayette, CO 80026
Phone (720) 406-3604

1455 Dixon Ave
Ste 300
Lafayette, CO 80026
Phone (303) 604-4244

515 Coffman St
Longmont, CO 80501
Phone (303) 409-0132

834 S Sherman St
Longmont, CO 80501
Phone (303) 247-8700

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1750824629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 HURON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879",
            "telephone_number": "303-443-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500 x3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNGAN",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0015877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.