BROOKE BURTARD
NPI 1861135501
Counselor - Addiction (Substance Use Disorder) in Fort Collins, CO

Active since April 20, 2022PECOS Enrolled
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Mar 6, 2025, Aug 5, 2024 and 2 more (5 updates tracked since 2022).

About Brooke Burtard NPPES

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

BROOKE BURTARD (NPI 1861135501) is an individual addiction (substance use disorder) provider in Fort Collins, Colorado, licensed in Colorado (ACD.0002566) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861135501
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBROOKE BURTARD
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Fax(844) 270-1824
Sole ProprietorNo
Enumeration DateApril 20, 2022
Last NPPES UpdateMarch 19, 20255 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1861135501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CO · ACD.0002566
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPCC.0022434 (CO)
Also ListedDriverTaxonomy 172A00000X
4856 INNOVATION DR, Fort Collins, CO 80525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brooke Burtard 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.

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525

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 Brooke Burtard's NPI number?

The NPI number for Brooke Burtard is 1861135501. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Brooke Burtard located?

Brooke Burtard practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Brooke Burtard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Brooke Burtard enrolled in Medicare?

Yes. Brooke Burtard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Burtard was last updated on March 19, 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.