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EVAN PROULX BOSTROM
NPI 1194461335
Counselor - Mental Health in Fort Collins, CO

Active since May 10, 2022
2625 REDWING RD STE 175, FORT COLLINS, CO 80526(970) 363-6651 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evan Proulx Bostrom NPPES

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

EVAN PROULX BOSTROM (NPI 1194461335) is an individual mental health provider in Fort Collins, Colorado, licensed in Colorado (LPCC.0019543) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1194461335
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN PROULX BOSTROM
Location Address2625 REDWING RD STE 175Fort Collins, CO 80526-6324
Mailing AddressPo Box 1112Fort Collins, CO 80522-1112
Phone(970) 363-6651
Sole ProprietorNo
Enumeration DateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1194461335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPCC.0019543
2625 REDWING RD STE 175, Fort Collins, CO 80526
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Other Providers at the Same Location NPPES 13

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

HIGHER SIGHTS COUNSELING
Community/Behavioral Health
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (720) 943-7080
TWO OWLS COUNSELING LLC
Counselor (Professional)
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (970) 402-3135
KYLE DOUGLAS LMFT
Marriage & Family Therapist
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (970) 658-0311
MS. VARSHA SWAMY MFTC
Marriage & Family Therapist
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (092) 943-3892
ABBIE R CONNER COUNSELING SERVICES
Social Worker (Clinical)
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (308) 882-8945
BEN LOTSTEIN MFTC
Marriage & Family Therapist
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (970) 430-5166
CHRISTINE MARIE THURSTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (970) 315-7724
ABBEY SCHNEIDER LMFT
Marriage & Family Therapist
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Larimer County (970) 829-1206

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 Evan Proulx Bostrom's NPI number?

The NPI number for Evan Proulx Bostrom is 1194461335. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Evan Proulx Bostrom located?

Evan Proulx Bostrom practices at 2625 Redwing Rd Ste 175, Fort Collins, CO 80526. The listed phone number is (970) 363-6651.

What is Evan Proulx Bostrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evan Proulx Bostrom was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.