CENTER FOR NEUROREHABILITATION SERVICES PC NPI 1225008816

NPI Information

NPI: 1225008816
Provider Name: CENTER FOR NEUROREHABILITATION SERVICES PC

Former Legal Business Name: BRAIN INJURY RECOVERY PROGRAM

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1045 ROBERTSON ST
FORT COLLINS, CO
ZIP 80524
Phone: (970) 493-6667
Get Directions

CENTER FOR NEUROREHABILITATION SERVICES PC is a mental health counselor in Fort Collins, CO. CENTER FOR NEUROREHABILITATION SERVICES PC NPI is 1225008816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Brain Injury Recovery Program.

The provider's business location address is:

1045 ROBERTSON ST
FORT COLLINS, CO
ZIP 80524-926
Phone: (970) 493-6667
Fax: (970) 493-8016

The provider's authorized official is Thomas L Bennett .
The authorized official title is Clinical Director and has the following contact phone number (970) 493-6667.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	Yes
2	101YP2500X	Counselor	Professional	X
3	103G00000X	Clinical Neuropsychologist		X
4	1041C0700X	Social Worker	Clinical	X
5	106H00000X	Marriage & Family Therapist		X
6	225100000X	Physical Therapist		X
7	225A00000X	Music Therapist		X
8	225X00000X	Occupational Therapist		X
9	225XR0403X	Occupational Therapist	Driving and Community Mobility	X
10	235Z00000X	Speech-Language Pathologist		X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	121003300	MEDICAID	WYOMING
2	04011854	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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