Individual provider Active NPI

Wesley Marshall Bowman, MSED, LPC

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1962826974
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012110 Issued in CO
Practice address
1136 E Stuart St Ste 2240
Fort Collins, CO 80525-5315
Phone
(970) 238-0268
Fax
(833) 645-2560
NPI assigned
Feb 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0012110 CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 2240
Fort Collins, CO 80525-5315

Mailing address

1136 E Stuart St Ste 2240
Fort Collins, CO 80525-5315
Phone (970) 238-0268

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
I20250428002670 CO Practitioner - Mental Health Counselor 8729504295 Practice locations: Fort Collins, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1136 E Stuart St
Suite 2240
Fort Collins, CO 80525-5315
Phone (970) 238-0268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0012110COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Balance Psychotherapy Mental Health CurrentSince Oct 24, 2021 Accepting new patients
Integrative Balance Psychotherapy Mental Health Current Accepting new patients

Locations

1136 E Stuart St
Ste 2240
Fort Collins, CO 80525
Phone (970) 238-0268

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1962826974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 2240",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255315",
            "telephone_number": "970-238-0268",
            "fax_number": "833-645-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 2240",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255315",
            "telephone_number": "970-238-0268",
            "fax_number": "833-645-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "WESLEY",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "MSED, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.