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INNOVATIVE NEUROFEEDBACK THERAPY
NPI 1518356484
Counselor in Fort Collins, CO

Active since January 15, 2015
4529 STOVER ST, FORT COLLINS, CO 80525(970) 234-1147 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovative Neurofeedback Therapy NPPES

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

INNOVATIVE NEUROFEEDBACK THERAPY (NPI 1518356484) is a healthcare organization registered as a counselor in Fort Collins, Colorado and active in the NPI registry since January 2015. The organization lists Jennifer Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1518356484
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePETERSEN ENTERPRISES INC
Location Address4529 STOVER STFort Collins, CO 80525-3261
Mailing Address4213 Durango PlFort Collins, CO 80526-4103 · (970) 234-1147
Phone(970) 234-1147
Organization SubpartNo
Authorized OfficialJennifer PetersenPresident · (970) 234-1147
Enumeration DateJanuary 15, 2015
✔ NPI 1518356484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CO · 2179
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4529 STOVER ST, Fort Collins, CO 80525
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Other Names 1

Doing Business AsInnovative Neurofeedback Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MICHAELA NICOLE BROWN LPC
Counselor (Mental Health)
4529 STOVER ST
FORT COLLINS, CO 80525
Larimer County (720) 306-1185
HEALING CONNECTIONS LLC
Counselor (Mental Health)
4529 STOVER ST
FORT COLLINS, CO 80525
Larimer County (303) 815-3988
EDWARD DOYLE
Counselor (Professional)
4529 STOVER ST
FORT COLLINS, CO 80525
Larimer County (970) 672-7718
MRS. AMY MOEN
Counselor (Mental Health)
4529 STOVER ST
FORT COLLINS, CO 80525
Larimer County (303) 815-3988
GWEN BELL LAC
Counselor (Addiction (Substance Use Disorder))
4529 STOVER ST
FORT COLLINS, CO 80525
Larimer County (303) 815-3988

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 Petersen Enterprises Inc's NPI number?

The NPI number for Petersen Enterprises Inc is 1518356484. It was assigned to this organization in the NPPES registry on January 15, 2015. The provider is doing business as Innovative Neurofeedback Therapy.

Where is Petersen Enterprises Inc located?

Petersen Enterprises Inc is located at 4529 Stover St, Fort Collins, CO 80525. The listed phone number is (970) 234-1147.

What is Petersen Enterprises Inc's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Petersen Enterprises Inc was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.