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DARTANYAN BROEKER
NPI 1295448355
Counselor - Professional in Fort Collins, CO

Active since January 03, 2023PECOS Enrolled
2550 STOVER ST BLDG C, FORT COLLINS, CO 80525(970) 942-3031 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2025, Jan 3, 2023 (2 updates tracked since 2023).

About Dartanyan Broeker NPPES

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

DARTANYAN BROEKER (NPI 1295448355) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (0021493) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295448355
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDARTANYAN BROEKER
Location Address2550 STOVER ST BLDG CFort Collins, CO 80525-4641
Mailing Address2550 Stover St Bldg CFort Collins, CO 80525-4641 · (970) 942-3031
Phone(970) 942-3031
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 3, 2023
Last NPPES UpdateNovember 30, 20252 updates tracked since enumeration
NPPES CertifiedNovember 30, 2025
✔ NPI 1295448355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 0021493
2550 STOVER ST BLDG C, Fort Collins, CO 80525
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dartanyan Broeker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103309240
PECOS Enrollment IDI20260317001162
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 Dartanyan Broeker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialty Counseling & Consulting
44 mi
Community/Behavioral Health
4025 RAWLINS ST
Cheyenne, WY 82001
  • Reassigned Medicare billing, Colorado enrollment
  • 11 clinicians in this Medicare group
NPI 1538462783 (307) 426-4798

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 15

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

JODI CAMPBELL
Case Manager/Care Coordinator
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (970) 347-2120
RAYANNAGAIL YAZZIE
Case Manager/Care Coordinator
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (970) 716-1855
SPECIALTY COUNSELING AND CONSULTING
Counselor (Professional)
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (970) 942-3031
ALEC TOPKIS MA
Counselor (Professional)
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (435) 640-7504
MEGAN BOWMAN
Social Worker (Clinical)
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (970) 942-3031
MISS MADISON RAE GUZMAN SWC
Social Worker
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (970) 942-3031
BROOKE TUTTLE JOSTAD MSW, LCSW
Social Worker (Clinical)
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (970) 942-3031
BRANDON TURNER
Social Worker (Clinical)
2550 STOVER ST BLDG C
FORT COLLINS, CO 80525
Larimer County (970) 942-3031

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 Dartanyan Broeker's NPI number?

The NPI number for Dartanyan Broeker is 1295448355. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Dartanyan Broeker located?

Dartanyan Broeker practices at 2550 Stover St Bldg C, Fort Collins, CO 80525. The listed phone number is (970) 942-3031.

What is Dartanyan Broeker's specialty?

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

Is Dartanyan Broeker enrolled in Medicare?

Yes. Dartanyan Broeker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dartanyan Broeker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dartanyan Broeker reassigns Medicare benefits to Specialty Counseling & Consulting (Cheyenne, WY). 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 Dartanyan Broeker'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 Dartanyan Broeker was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.