Healthcare Provider Details

I. General information

NPI: 1467100040
Provider Name (Legal Business Name): PRANJALI ADHIKARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W OAK ST STE 290C
FORT COLLINS CO
80524-7165
US

IV. Provider business mailing address

1718 BIRMINGHAM DR
FORT COLLINS CO
80526-2387
US

V. Phone/Fax

Practice location:
  • Phone: 970-658-0826
  • Fax:
Mailing address:
  • Phone: 970-658-0826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024746
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: