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

Dartanyan Broeker

Individual provider Professional Counselor · NPI 1295448355

Dartanyan Broeker is a Mental Health Counselor in Fort Collins, Colorado. Qualified in 2023, 3 years ago. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2023

Practice location Address checks out

2550 Stover St Bldg C
Fort Collins, CO 80525-4641
Phone: (970) 942-3031
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0021493 (CO)

Record details

NPI number1295448355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESNovember 30, 2025
Certification dateNovember 30, 2025
Mailing address2550 Stover St Bldg C, Fort Collins, CO 80525-4641

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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