ALYSSA PROULX BOSTROM
NPI 1790416295
Counselor - Professional in Fort Collins, CO

Active since June 23, 2022
2625 REDWING RD STE 175, FORT COLLINS, CO 80526(970) 829-8841 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Proulx Bostrom NPPES

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

ALYSSA PROULX BOSTROM (NPI 1790416295) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPCC.0019527) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1790416295
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSSA PROULX BOSTROM
Location Address2625 REDWING RD STE 175Fort Collins, CO 80526-6324
Mailing AddressPo Box 1112Fort Collins, CO 80522-1112
Sole ProprietorNo
Enumeration DateJune 23, 2022
NPPES CertifiedMay 11, 2022
NPI 1790416295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · LPCC.0019527
2625 REDWING RD STE 175, Fort Collins, CO 80526

Other Identifiers 1

OtherLPCC.0019527CO · Dora

Other Providers at the Same Location NPPES 13

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

Community/Behavioral Health
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Counselor (Professional)
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Marriage & Family Therapist
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Marriage & Family Therapist
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Counselor (Mental Health)
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Social Worker (Clinical)
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Marriage & Family Therapist
2625 REDWING RD STE 175
FORT COLLINS, CO 80526
Nurse Practitioner (Psychiatric/Mental Health)
2625 REDWING RD STE 175
FORT COLLINS, CO 80526

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 Alyssa Proulx Bostrom's NPI number?

The NPI number for Alyssa Proulx Bostrom is 1790416295. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Alyssa Proulx Bostrom located?

Alyssa Proulx Bostrom practices at 2625 Redwing Rd Ste 175, Fort Collins, CO 80526. The listed phone number is (970) 829-8841.

What is Alyssa Proulx Bostrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Alyssa Proulx Bostrom was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.