TRISTAN BENZON
NPI 1629831417
Counselor - Professional in Broomfield, CO

Active since February 05, 2024PECOS Enrolled
12303 AIRPORT WAY STE 125, BROOMFIELD, CO 80021(970) 310-3406(888) 965-4615 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 13, 2026, Aug 8, 2025, Feb 5, 2024 (3 updates tracked since 2024).

About Tristan Benzon NPPES

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

TRISTAN BENZON (NPI 1629831417) is an individual professional provider in Broomfield, Colorado, licensed in Colorado (LPC.0023545) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629831417
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTRISTAN BENZON
Location Address12303 AIRPORT WAY STE 125Broomfield, CO 80021-2729
Mailing Address12303 Airport Way Ste 125Broomfield, CO 80021-2729 · (970) 310-3406 · Fax (888) 965-4615
Fax(888) 965-4615
Sole ProprietorNo
Enumeration DateFebruary 5, 2024
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1629831417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CO · LPC.0023545✔ Licensed in MO · 20205030280
Also ListedCounselorTaxonomy 101Y00000X · License 2023036734 (MO)
12303 AIRPORT WAY STE 125, Broomfield, CO 80021

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignments

2

Medicare enrollment records show Tristan Benzon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
12303 AIRPORT WAY STE 125
Broomfield, CO 80021
  • Reassigned Medicare billing, Colorado enrollment
  • 390 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
801 S WOODLAWN AVE STE 16
O Fallon, MO 63366
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group

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.

Social Worker (Clinical)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Counselor (Professional)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Counselor (Mental Health)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Social Worker (Clinical)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Psychologist
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Marriage & Family Therapist
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Counselor (Mental Health)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Counselor (Professional)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021

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 Tristan Benzon's NPI number?

The NPI number for Tristan Benzon is 1629831417. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Tristan Benzon located?

Tristan Benzon practices at 12303 Airport Way Ste 125, Broomfield, CO 80021. The listed phone number is (970) 310-3406.

What is Tristan Benzon's specialty?

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

Is Tristan Benzon enrolled in Medicare?

Yes. Tristan Benzon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tristan Benzon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tristan Benzon reassigns Medicare benefits to 2 organizations: Heart Centered Counseling, PC (Broomfield, CO) and Nystrom Counseling Mo, PC (O Fallon, MO). Each 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 Tristan Benzon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tristan Benzon accept?

Health plans from Anthem Blue Cross and Blue Shield list Tristan Benzon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tristan Benzon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.