Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optum Behavioral Care of Colorado, PC

Organization Counseling Psychologist · NPI 1104688365

Optum Behavioral Care of Colorado, PC is a Counseling Psychologist in Fond Du Lac, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

196 3rd St
Fond Du Lac, WI 54935-4418
Phone: (920) 733-2065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X

Record details

NPI number1104688365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Johnson — Ceo · (704) 506-6267
Other names Delta Center Of Wisconsin
NPI enumeratedJanuary 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address11000 Optum Cir, Eden Prairie, MN 55344-2503