Individual provider Active NPI

Kody M Roper, PHD, LPC, RPT, EMDR

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1962045518
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.14618 Issued in CO
Practice address
2519 S Shields St Ste 1K
Fort Collins, CO 80526-1855
Phone
(970) 319-1710
NPI assigned
Oct 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 LPC.14618 CO Primary

Addresses

Primary practice location

2519 S Shields St Ste 1K
Fort Collins, CO 80526-1855

Mailing address

2519 S Shields St Ste 1K
Fort Collins, CO 80526-1855
Phone (970) 587-3328

Other practice location 1

1644 S College Ave
Fort Collins, CO 80525-1007
Phone (970) 221-0999

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
I20251231002929 CO Practitioner - Mental Health Counselor 1557857299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1516 Lake Vista Way
Severance, CO 80550-3804

1644 S College Ave
Fort Collins, CO 80525-1007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC.14618COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Center for Youth and Family Development, Inc. Professional CurrentSince Dec 1, 2025 Accepting new patients
Turning Point Center for Youth & Family Development, Inc CurrentSince Dec 1, 2025 Accepting new patients
Pathway, Inc. PastSince Oct 27, 2019 Accepting new patients

Locations

1644 S College Ave
Fort Collins, CO 80525
Phone (970) 221-0999

913 11th Ave
Greeley, CO 80631
Phone (970) 221-0999

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1962045518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST STE 1K",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-587-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST STE 1K",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-319-1710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251007",
            "country_code": "US",
            "telephone_number": "970-221-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROPER",
        "first_name": "KODY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, RPT, EMDR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.14618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.