DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ASPEN MOON

MEDICARE: ASPEN MOON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver
21041C0700XClinical Social WorkerCSW.09933288CO

General Provider Information

NPI Number : 1326893546
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASPEN MOON
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Provider Business Practice Location Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 06/16/2026

Similar Medicare Providers

1710674114 — HUNTER MOLINA
Practice Location Address:
4856 INNOVATION DR
FORT COLLINS, CO
80525-5539
Practice Phone: 970-494-4200
Practice Fax: 844-270-1824
1871145607 — SLOANE WILSON PA-C
Practice Location Address:
4856 INNOVATION DR
FORT COLLINS, CO
80525-5539
Practice Phone: 970-494-4200
Practice Fax: 844-270-1824
1528937661 — ALANA O'BRIEN LPCC
Practice Location Address:
4856 INNOVATION DR
FORT COLLINS, CO
80525-5539
Practice Phone: 970-494-4200
Practice Fax: 844-270-1824
1548966757 — ZAIRA FLORES MA
Practice Location Address:
4856 INNOVATION DR
FORT COLLINS, CO
80525-5539
Practice Phone: 970-494-4200
Practice Fax: 844-270-1824
1164356671 — MR. BRIAN THOMAS COX
Practice Location Address:
4856 INNOVATION DR
FORT COLLINS, CO
80525-5539
Practice Phone: 970-494-4200
Practice Fax: 844-270-1824
1235908666 — RAVEN STAPLETON LPCC
Practice Location Address:
4856 INNOVATION DR
FORT COLLINS, CO
80525-5539
Practice Phone: 970-494-4200
Practice Fax: 844-270-1824

Directions to “ ASPEN MOON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.