NPIMap

Organization Active NPI

Momentum Counseling and Consulting LLC

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1780356188
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOMENTUM COUNSELING AND CONSULTING LLC
Practice address
2120 Milestone Dr.
Suite 103
Ft. Collins, CO 80525-5761
Phone
(970) 829-8780
NPI assigned
Oct 4, 2021
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Mr. Damond R Dotson, PHD LMFT
Title
Billing Manager
Phone
(970) 576-1717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2120 Milestone Dr.
Suite 103
Ft. Collins, CO 80525-5761

Mailing address

2120 Milestone Dr.
Suite 103
Ft. Collins, CO 80525-5761
Phone (970) 829-8780

Other practice location 1

333 W Drake Rd Ste 131
Fort Collins, CO 80526-6319
Phone (970) 829-8780

Other practice location 2

343 W Drake Rd Ste 240
Fort Collins, CO 80526-2880
Phone (970) 829-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419001098 CO Part B Supplier - Clinic/Group Practice 3779922083 Receives reassigned benefits from 30 practitioners
5 other NPIs on this enrollment
Practice locations: Arvada, CO; Fort Collins, CO; Longmont, CO; Loveland, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1780356188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MILESTONE DR.",
            "address_2": "SUITE 103",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "805255761",
            "telephone_number": "970-829-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MILESTONE DR.",
            "address_2": "SUITE 103",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "805255761",
            "telephone_number": "970-829-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Drake Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805266319",
            "country_code": "US",
            "telephone_number": "970-829-8780",
            "fax_number": "970-341-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "343 W Drake Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805262880",
            "country_code": "US",
            "telephone_number": "970-829-8780",
            "fax_number": "970-341-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOMENTUM COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "DAMOND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "970-576-1717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.