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CARL NASSAR
NPI 1366076358
Counselor - Professional in Fort Collins, CO

Active since February 27, 2020Opted out of Medicare · through Aug 19, 2026
320 W OLIVE ST, FORT COLLINS, CO 80521(970) 310-3406(888) 965-4615 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carl Nassar NPPES

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

CARL NASSAR (NPI 1366076358) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (0004946) and active in the NPI registry since February 2020. He has opted out of Medicare through August 19, 2026.

NPPES Registry Identity

NPI1366076358
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCARL NASSAR
Location Address320 W OLIVE STFort Collins, CO 80521-2716
Mailing Address320 W Olive StFort Collins, CO 80521-2716 · (970) 310-3406 · Fax (888) 965-4615
Phone(970) 310-3406
Fax(888) 965-4615
Sole ProprietorYes
Enumeration DateFebruary 27, 2020
✔ NPI 1366076358 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 · 0004946
320 W OLIVE ST, Fort Collins, CO 80521
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carl Nassar has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2024 through August 19, 2026.

Opt-Out Effective DateAugust 19, 2024
Opt-Out In Effect ThroughAugust 19, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. DENISE MARIE FLORES LMFT
Marriage & Family Therapist
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (805) 798-1370
RYAN R HALE LPC, MA
Counselor (Professional)
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (970) 498-0709
ALEXANDRA HOGAN NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (970) 498-0709
LIFESPAN FAMILY MEDICAL SERVICES
Clinic/Center (Primary Care)
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (970) 484-9533
DR. JENNIFER LYNN LE PONT-FOWLER DNP, APRN, PMHNP-BC
Psychiatry & Neurology (Psychiatry)
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (316) 641-9406
LAUREN SCHROEDER LPC
Counselor (Professional)
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (970) 658-0759
MS. KRISTIN RENEE JANSEN LPC, LAC
Counselor (Professional)
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (970) 310-3406
MS. GENESA TARA FALCAO MA, LPC
Counselor (Mental Health)
320 W OLIVE ST
FORT COLLINS, CO 80521
Larimer County (720) 582-3570

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 Carl Nassar's NPI number?

The NPI number for Carl Nassar is 1366076358. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Carl Nassar located?

Carl Nassar practices at 320 W Olive St, Fort Collins, CO 80521. The listed phone number is (970) 310-3406.

What is Carl Nassar's specialty?

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

Is Carl Nassar enrolled in Medicare?

No. Carl Nassar has opted out of Medicare through August 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carl Nassar was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.