NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC
NPI 1659794477
Social Worker - Clinical in Fort Collins, CO

NPI Status: Active since January 30, 2014

Contact Information

4115 BOARDWALK DRIVE, SUITE 100
FORT COLLINS, CO
ZIP 80525
Phone: (970) 493-4580
Fax: (970) 797-2859

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  • Organization
  • Social Worker
  • Clinical

About NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC

This page provides the complete NPI Profile along with additional information for Neurofeedback Clinic Of Northern Colorado Llc, a provider established in Fort Collins, Colorado operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1659794477 assigned on January 2014. The practitioner's primary taxonomy code is 1041C0700X with license number 9923938 (CO). The provider is registered as an organization and their NPI record was last updated one year ago. Neurofeedback Clinic Of Northern Colorado Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lisa Pendleton Lmft (Clinical Director)

NPI
1659794477
Provider Name
NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC
Entity Type
Organization
Location Address
4115 BOARDWALK DRIVE, SUITE 100 FORT COLLINS, CO 80525
Location Phone
(970) 493-4580
Location Fax
(970) 797-2859
Mailing Address
4115 BOARDWALK DR SUITE 100 FORT COLLINS, CO 80525
Mailing Phone
(970) 493-4580
Mailing Fax
(970) 797-2859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2014
Last Update Date
05-30-2025
Code Navigator

A clinical social worker like Neurofeedback Clinic Of Northern Colorado Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
9923938
License State
CO
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

12332 (CO)
2106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

974 (CO)
3106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

983 (CO)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA PENDLETON LMFT

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(970) 493-4580

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659794477, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 4 + 9 + 8 + 4 + 1 + 4 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1659794477.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659794477, enumerated as an "organization" on January 30, 2014.

The provider is located at 4115 BOARDWALK DRIVE, SUITE 100 FORT COLLINS, CO 80525 and the phone number is (970) 493-4580.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.