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POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1124900998
Clinic/Center - Adult Mental Health in Fort Collins, CO

Active since July 23, 2025
1107 S LEMAY AVE STE 100, FORT COLLINS, CO 80524(970) 495-8440 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poudre Valley Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POUDRE VALLEY MEDICAL GROUP, LLC (NPI 1124900998) is a healthcare organization registered as an adult mental health in Fort Collins, Colorado and active in the NPI registry since July 2025. The organization lists Jana Conroy, Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1124900998
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address1107 S LEMAY AVE STE 100Fort Collins, CO 80524-3956
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4443
Phone(970) 495-8440
Organization SubpartYes
Authorized OfficialJana ConroyDirector Credentialing · (970) 624-4443
Enumeration DateJuly 23, 2025
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1124900998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedOccupational TherapistTaxonomy 225X00000X
1107 S LEMAY AVE STE 100, Fort Collins, CO 80524
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LYNN TOLLEFSON MD
Obstetrics & Gynecology
1107 S LEMAY AVE STE 100
FORT COLLINS, CO 80524
Larimer County (970) 495-8400
MELISSA TUCK LCSW
Social Worker (Clinical)
1107 S LEMAY AVE STE 100
FORT COLLINS, CO 80524
Larimer County (970) 207-4857
MEGAN ADELINE WHERRY
Occupational Therapist
1107 S LEMAY AVE STE 100
FORT COLLINS, CO 80524
Larimer County (970) 207-4857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poudre Valley Medical Group, LLC's NPI number?

The NPI number for Poudre Valley Medical Group, LLC is 1124900998. It was assigned to this organization in the NPPES registry on July 23, 2025.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 1107 S Lemay Ave Ste 100, Fort Collins, CO 80524. The listed phone number is (970) 495-8440.

What is Poudre Valley Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.