Individual provider Active NPI

Rob Neil Colbert, MA, PHD, LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1750843587
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0017200 Issued in CO
Practice address
204 Walnut St Ste a
Fort Collins, CO 80524-4439
Phone
(970) 510-6362
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0108734 CO
Professional Counselor 101YP2500X 0017200 CO Primary

Addresses

Primary practice location

204 Walnut St Ste a
Fort Collins, CO 80524-4439

Mailing address

25 Old Town SQ Ste 250J
Fort Collins, CO 80524-4455
Phone (970) 510-6362

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://anenduringlove.intakeq.com/connect Direct

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
I20240503003345 CO Practitioner - Mental Health Counselor 6507206745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Walnut St
Suite a
Fort Collins, CO 80524-4439
Phone (970) 510-6362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NLC.0108734COMDMental Health Counselor
0017200COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychiatric Services CurrentSince Jun 22, 2021 Accepting new patients
An Enduring Love, Co Mental Health Current Accepting new patients
An Enduring Love, Co Mental Health CurrentSince Mar 23, 2024 Accepting new patients

Locations

204 Walnut St
Ste A
Fort Collins, CO 80524
Phone (970) 510-6362

Organizations & group practices 3

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1750843587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD TOWN SQ STE 250J",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244455",
            "telephone_number": "970-510-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WALNUT ST STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244439",
            "telephone_number": "970-510-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "ROB",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MA, PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0108734",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://anenduringlove.intakeq.com/connect",
            "affiliation": "N",
            "endpointDescription": "Intake Q Secure Client Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct messaging and .pdf file sharing",
            "address_1": "204 Walnut St Ste A",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805244439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.