NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC
NPI 1659794477
Social Worker - Clinical in Fort Collins, CO
About Neurofeedback Clinic Of Northern Colorado Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC (NPI 1659794477) is a healthcare organization registered as a clinical in Fort Collins, Colorado and active in the NPI registry since January 2014. The organization lists Lisa Pendleton, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Neurofeedback Clinic Of Northern Colorado Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Neurofeedback Clinic Of Northern Colorado LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 21Fort Collins, CO 80525
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Neurofeedback Clinic Of Northern Colorado LLC's NPI number?
The NPI number for Neurofeedback Clinic Of Northern Colorado LLC is 1659794477. It was assigned to this organization in the NPPES registry on January 30, 2014.
Where is Neurofeedback Clinic Of Northern Colorado LLC located?
Neurofeedback Clinic Of Northern Colorado LLC is located at 4115 Boardwalk Drive, Suite 100, Fort Collins, CO 80525. The listed phone number is (970) 493-4580.
What is Neurofeedback Clinic Of Northern Colorado LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Neurofeedback Clinic Of Northern Colorado LLC enrolled in Medicare?
Yes. Neurofeedback Clinic Of Northern Colorado LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Neurofeedback Clinic Of Northern Colorado LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Neurofeedback Clinic Of Northern Colorado LLC. A 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 the clinician's services. The largest specialties are Mental Health Counselor (12), Clinical Social Worker (7) and Clinical Psychologist (1). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Neurofeedback Clinic Of Northern Colorado LLC was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Neurofeedback Clinic Of Northern Colorado Llc · NPI 1659794477
Clinical organization in Fort Collins, Colorado. Organization record, active in the CMS NPPES registry since January 30, 2014.
## Identity
- **NPI:** 1659794477 (Entity type: Organization)
- **Enumerated:** January 30, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Lisa Pendleton, CLINICAL DIRECTOR
## Practice location
- **Address:** 4115 BOARDWALK DRIVE, SUITE 100, Fort Collins, CO 80525-5945
- **Phone:** (970) 493-4580 · **Fax:** (970) 797-2859
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (12), Clinical Social Worker (7), Clinical Psychologist (1); 11 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1659794477/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659794477) · Data from the CMS NPPES public registry.