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DOUGLAS WATSON BLOCKSMA MA, LPC
NPI 1154687465
Counselor - Professional in Fort Collins, CO

Active since April 11, 2012PECOS Enrolled
375 E HORSETOOTH RD BLDG 3101, FORT COLLINS, CO 80525(970) 310-3406 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas Watson Blocksma Ma, Lpc NPPES

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

DOUGLAS WATSON BLOCKSMA MA, LPC (NPI 1154687465) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0012484) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1154687465
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDOUGLAS WATSON BLOCKSMACredential: MA, LPC
Location Address375 E HORSETOOTH RD BLDG 3101Fort Collins, CO 80525-3197
Mailing Address375 E Horsetooth Rd Bldg 3101Fort Collins, CO 80525-3197 · (970) 310-3406
Phone(970) 310-3406
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 11, 2012
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1154687465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0012484
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License NLC-13914 (CO)
375 E HORSETOOTH RD BLDG 3101, Fort Collins, CO 80525
Open in Google Maps ↗

Other Identifiers 1

Other27-2932236WY · Employee Identification Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Watson Blocksma Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678054244
PECOS Enrollment IDI20260221000423
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Blocksma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Centered Counseling, PC
0.5 mi
Mental Health
375 E HORSETOOTH RD BLDG 3101
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 390 clinicians in this Medicare group
NPI 1710577606 (970) 310-3406

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

KIMBERLY MEEKER SMITH LPC
Counselor (Professional)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (970) 484-1735
ANNEKE R WARDLAW LCSW
Social Worker (Clinical)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (970) 310-3406
HUNTSING OOI LPC
Counselor (Professional)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (224) 715-0673
MS. VAUNDA PEARSON M.ED, LPC
Counselor (Mental Health)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (970) 578-1685
MARTHA CANJI M.ED., LPC
Counselor (Professional)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (970) 310-3406
SHARLENE KATHRYN KRAEMER LPC, NCC
Counselor (Professional)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (970) 310-3406
SAVANNAH ROSE CORMIER
Counselor (Professional)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (970) 472-1207
HEART CENTERED COUNSELING, PC
Counselor (Mental Health)
375 E HORSETOOTH RD BLDG 3101
FORT COLLINS, CO 80525
Larimer County (970) 310-3406

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 Douglas Blocksma's NPI number?

The NPI number for Douglas Blocksma is 1154687465. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Douglas Blocksma located?

Douglas Blocksma practices at 375 E Horsetooth Rd Bldg 3101, Fort Collins, CO 80525. The listed phone number is (970) 310-3406.

What is Douglas Blocksma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Douglas Blocksma enrolled in Medicare?

Yes. Douglas Blocksma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Blocksma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Blocksma reassigns Medicare benefits to Heart Centered Counseling, PC (Fort Collins, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Blocksma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Blocksma was last updated on February 12, 2026. 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.