Healthcare Provider Details

I. General information

NPI: 1154289684
Provider Name (Legal Business Name): ROCKY MOUNTAIN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2253 75TH AVE
GREELEY CO
80634-7406
US

IV. Provider business mailing address

5720 BIG CANYON DR
FORT COLLINS CO
80528-6905
US

V. Phone/Fax

Practice location:
  • Phone: 303-514-6665
  • Fax:
Mailing address:
  • Phone: 303-514-6665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL JOHNSON
Title or Position: OWNER
Credential: LPC
Phone: 303-514-6665