Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC
Active
Organization
NEUROFEEDBACK CLINIC OF NORTHERN COLORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PENDLETON LMFT (CLINICAL DIRECTOR)
(970) 493-4580
Entity
Organization
Contact information
Practice address
4115 BOARDWALK DRIVE, SUITE 100, FORT COLLINS, CO 80525-5945
(970) 493-4580
(970) 797-2859
Mailing address
4115 BOARDWALK DR, SUITE 100, FORT COLLINS, CO 80525-5945
(970) 493-4580
(970) 797-2859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12332
CO
1041C0700X
Clinical Social Worker
Primary
9923938
CO
106H00000X
Marriage & Family Therapist
974
CO
106H00000X
Marriage & Family Therapist
983
CO
Other
Enumeration date
01/30/2014
Last updated
05/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up