Healthcare Provider Details

I. General information

NPI: 1790444578
Provider Name (Legal Business Name): NORTHPOINT COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 AUTOMATION WAY STE 102
FORT COLLINS CO
80525-3451
US

IV. Provider business mailing address

3515 E OVERLAND RD
MERIDIAN ID
83642-6757
US

V. Phone/Fax

Practice location:
  • Phone: 970-900-5835
  • Fax: 970-837-7330
Mailing address:
  • Phone: 208-605-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: AMY YOCUM
Title or Position: CONTRACTING/CREDENTIALING MANAGER
Credential:
Phone: 208-810-2680