Individual provider Active NPI

Benjamin R Mikolaj, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1952193542
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0203768 Issued in CO
Practice address
6160 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3503
Phone
(719) 473-2346
Fax
(719) 465-5617
NPI assigned
May 20, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0203768 CO Primary

Addresses

Primary practice location

6160 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3503

Mailing address

2545 Paradise Cove VW Apt 412
Colorado Springs, CO 80907-6679
Phone (719) 444-8484

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930002658 CO Practitioner - Nurse Practitioner 4284130162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Neuropsychiatric Associates, P.C.Group PAC ID 3375517568, 11 clinicians

Practice addresses (Care Compare)

7353 Sisters GRV
Colorado Springs, CO 80923-2615
Phone (719) 444-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0203768COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Neuropsychiatric Associates, P.C. CurrentSince Sep 21, 2025 Accepting new patients
Rocky Mountain Neuropsychiatric Associates, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

6160 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 444-8484

7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001

Organizations & group practices 2

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1952193542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 PARADISE COVE VW APT 412",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076679",
            "telephone_number": "719-444-8484",
            "fax_number": "719-465-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233503",
            "telephone_number": "719-473-2346",
            "fax_number": "719-465-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLAJ",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "credential": "DNP-PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0203768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.