KALEIDOSCOPE WELLNESS LTD
NPI 1679306583
Nurse Practitioner - Psychiatric/Mental Health in Fort Collins, CO
About Kaleidoscope Wellness Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALEIDOSCOPE WELLNESS LTD (NPI 1679306583) is a healthcare organization registered as a psychiatric/mental health in Fort Collins, Colorado and active in the NPI registry since August 2024. The organization lists Coreen Ann Brennan Herron, Pmhnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Kaleidoscope Wellness Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kaleidoscope Wellness Ltd, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kaleidoscope Wellness Ltd's NPI number?
The NPI number for Kaleidoscope Wellness Ltd is 1679306583. It was assigned to this organization in the NPPES registry on August 26, 2024.
Where is Kaleidoscope Wellness Ltd located?
Kaleidoscope Wellness Ltd is located at 1136 E Stuart St Bldg 4, Fort Collins, CO 80525. The listed phone number is (970) 670-0913.
What is Kaleidoscope Wellness Ltd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kaleidoscope Wellness Ltd enrolled in Medicare?
Yes. Kaleidoscope Wellness Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kaleidoscope Wellness Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kaleidoscope Wellness Ltd. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kaleidoscope Wellness Ltd was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kaleidoscope Wellness Ltd · NPI 1679306583
Psychiatric/Mental Health organization in Fort Collins, Colorado. Organization record, active in the CMS NPPES registry since August 26, 2024.
## Identity
- **NPI:** 1679306583 (Entity type: Organization)
- **Enumerated:** August 26, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Coreen Herron, PMHNP
## Practice location
- **Address:** 1136 E STUART ST BLDG 4, Fort Collins, CO 80525-1195
- **Phone:** (970) 670-0913
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679306583) · Data from the CMS NPPES public registry.