WYATT OVERTON LPCC
NPI 1356109359
Counselor - Mental Health in Fort Collins, CO

Active since March 13, 2024PECOS Enrolled
3030 S COLLEGE AVE UNIT 200A, FORT COLLINS, CO 80525(970) 372-0573 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wyatt Overton Lpcc NPPES

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

WYATT OVERTON LPCC (NPI 1356109359) is an individual mental health provider in Fort Collins, Colorado, licensed in Colorado (0020630) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356109359
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWYATT OVERTONCredential: LPCC
Location Address3030 S COLLEGE AVE UNIT 200AFort Collins, CO 80525-2557
Mailing Address3030 S College Ave Unit 200aFort Collins, CO 80525-2557 · (970) 372-0573
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1356109359 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 · 0020630
3030 S COLLEGE AVE UNIT 200A, Fort Collins, CO 80525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wyatt Overton Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608358627
PECOS Enrollment IDI20260306003646
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.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
3030 S COLLEGE AVE UNIT 200A
FORT COLLINS, CO 80525
Counselor (Mental Health)
3030 S COLLEGE AVE UNIT 200A
FORT COLLINS, CO 80525
Clinic/Center (Mental Health (Including Community Mental Health Center))
3030 S COLLEGE AVE UNIT 200A
FORT COLLINS, CO 80525
Psychologist
3030 S COLLEGE AVE UNIT 200A
FORT COLLINS, CO 80525

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 Wyatt Overton's NPI number?

The NPI number for Wyatt Overton is 1356109359. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Wyatt Overton located?

Wyatt Overton practices at 3030 S College Ave Unit 200A, Fort Collins, CO 80525. The listed phone number is (970) 372-0573.

What is Wyatt Overton's specialty?

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

Is Wyatt Overton enrolled in Medicare?

Yes. Wyatt Overton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wyatt Overton was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.