NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC
NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1659794477, based in Fort Collins, CO. The organization lists 3 taxonomy classifications, with Clinical Social Worker recorded as primary.
Getting there
The practice address on file is 4115 BOARDWALK DRIVE, SUITE 100, Fort Collins, CO 80525. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 9923938 | CO | Clinical Social Worker primary |
| 12332 | CO | Professional Counselor |
| 974 | CO | Marriage & Family Therapist |
| 983 | CO | Marriage & Family Therapist |
This provider holds licence 9923938 issued in CO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6406162353
- Enrollment ID
- O20150909000093
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical covers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NUCC Health Care Provider Taxonomy, code 1041C0700X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker Clinical | 9923938 | CO | primary |
| 101YP2500X | Professional Counselor Professional | 12332 | CO | |
| 106H00000X | Marriage & Family Therapist | 974 | CO | |
| 106H00000X | Marriage & Family Therapist | 983 | CO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1659794477 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 30, 2014 |
| Last updated | May 30, 2025 |
| Status | Active |
| Practice address |
4115 BOARDWALK DRIVE, SUITE 100 Fort Collins, CO 80525 (970) 493-4580 Fax (970) 797-2859 |
| Mailing address |
4115 BOARDWALK DR SUITE 100 Fort Collins, CO 80525 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 5 | 9 | 7 | 9 | 4 | 4 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 1 | 9 | 5 | 9 | 8 | 4 | 5 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.