Active NPI
Benjamin Dungan
- Professional Counselor
- Lafayette, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0015877
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0015877 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Westminster, CO
- NPI 1811279136
-
- Federally Qualified Health Center (FQHC)
- Thornton, CO
- NPI 1093702177
-
- Federally Qualified Health Center (FQHC)
- Nederland, CO
- NPI 1104579481
-
- Clinic/Center
- Boulder, CO
- NPI 1184613234
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1548256522
-
- Federally Qualified Health Center (FQHC)
- Boulder, CO
- NPI 1659649135
-
- Federally Qualified Health Center (FQHC)
- Black Hawk, CO
- NPI 1780337063
-
- Federally Qualified Health Center (FQHC)
- Lafayette, CO
- NPI 1831186915
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.