BROOKE BADBERG (LAC, MA) – Addiction (Substance Use Disorder) Counselor, NPI 1336575786

BROOKE BADBERG (LAC, MA) is a healthcare provider. based in Fort collins, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LAC, MA. They hold a License No. ACD.0000208 (CO). The NPI Number for BROOKE BADBERG (LAC, MA) is 1336575786

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE BADBERG (LAC, MA)
NPI
1336575786
Phone
(970) 494-4200
Address
4856 INNOVATION DR STE B
Enumeration Date
17 September 2013
Last Update Date
28 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7209437050
Graduation Year
2001 (25 years ago)
PAC ID
3173045838
Group Practice PAC ID
1153747613
Professional Enrollment ID
I20250321003064
Address ID
CO802275517DE5353XAVEX415
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for BROOKE BADBERG (LAC, MA)

  • 4856 INNOVATION DR STE B

    FORT COLLINS, CO 805255540

    Phone: (970) 494-4200

    Type: Mailing

  • 1250 N WILSON AVE

    LOVELAND, CO 805374461

    Phone: (970) 494-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250321003064IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153747613View full group profile
NameSpecialtyState
Mental Health CounselorCO
Mental Health CounselorTX
Mental Health CounselorCO
Mental Health CounselorIL
Nurse PractitionerOH
Clinical Social WorkerCO
Clinical Social WorkerTN
Nurse PractitionerCO
Mental Health CounselorCO
Mental Health CounselorCO

Reviews

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Frequently asked questions

Can I use this page to confirm BROOKE BADBERG (LAC, MA)'s NPI?
Yes. BROOKE BADBERG (LAC, MA) is listed with NPI 1336575786 in the public NPI dataset.
Does the file indicate BROOKE BADBERG (LAC, MA) is practicing under active NPI?
Directory data currently reports BROOKE BADBERG (LAC, MA) as active.
What taxonomy line describes BROOKE BADBERG (LAC, MA)?
For research purposes, treat BROOKE BADBERG (LAC, MA) as Addiction (Substance Use Disorder) Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BROOKE BADBERG (LAC, MA) on a map?
Expect Fort Collins, Colorado as a primary anchor for BROOKE BADBERG (LAC, MA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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