Healthcare Provider Details

I. General information

NPI: 1962326843
Provider Name (Legal Business Name): AUSTEN JAMES ALLEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 CENTRE AVE
FORT COLLINS CO
80526-1849
US

IV. Provider business mailing address

6243 BUCHANAN ST
FORT COLLINS CO
80525-5814
US

V. Phone/Fax

Practice location:
  • Phone: 970-893-7600
  • Fax:
Mailing address:
  • Phone: 970-481-2948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: