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TERYN BRODISH
NPI 1174149082
Counselor - Addiction (Substance Use Disorder) in Fort Collins, CO

Active since June 17, 2020PECOS EnrolledAccepts Medicare Assignment
1217 RIVERSIDE AVE, FORT COLLINS, CO 80524(970) 494-4200 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Mar 19, 2025, Oct 8, 2024 and 2 more (5 updates tracked since 2020).

About Teryn Brodish NPPES

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

TERYN BRODISH (NPI 1174149082) is an individual addiction (substance use disorder) provider in Fort Collins, Colorado, licensed in Colorado (ACD.0002596) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174149082
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERYN BRODISH
Location Address1217 RIVERSIDE AVEFort Collins, CO 80524-3218
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Phone(970) 494-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 17, 2020
Last NPPES UpdateSeptember 2, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1174149082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002596
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC.0023926 (CO)
1217 RIVERSIDE AVE, Fort Collins, CO 80524
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teryn Brodish is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779012067
PECOS Enrollment IDI20250131001154
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 Teryn Brodish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summitstone Health Partners
Same address
Rehabilitation, Substance Use Disorder
1217 RIVERSIDE AVE
Fort Collins, CO 80524
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1609497809 (970) 494-4200

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 20

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

SIERRA HOPE BLACK
Case Manager/Care Coordinator
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
DAIRA SULJOVIC LPCC, MA
Counselor (Mental Health)
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
DEMETRIUS GRAVES
Case Manager/Care Coordinator
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
GUADALUPE P SANDOVAL RN
Registered Nurse
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-5766
DR. SHERRY ELIZABETH GARDNER PSY. D.
Psychologist (Clinical)
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
MAE WILLIAMS
Counselor (Mental Health)
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200
AARON J CANNEY BS
Behavior Analyst
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-9761
KATLYNN WISEMAN BA
Case Manager/Care Coordinator
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524
Larimer County (970) 494-4200

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 Teryn Brodish's NPI number?

The NPI number for Teryn Brodish is 1174149082. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Teryn Brodish located?

Teryn Brodish practices at 1217 Riverside Ave, Fort Collins, CO 80524. The listed phone number is (970) 494-4200.

What is Teryn Brodish's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Teryn Brodish enrolled in Medicare?

Yes. Teryn Brodish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Teryn Brodish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teryn Brodish reassigns Medicare benefits to Summitstone Health Partners (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 Teryn Brodish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teryn Brodish accept?

Health plans from Select Health list Teryn Brodish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teryn Brodish was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.