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

Ethan Dahlberg

Individual provider Professional Counselor · NPI 1073284634

Ethan Dahlberg is a Mental Health Counselor in Colorado Springs, Colorado. Qualified in 2020, 6 years ago. Practices with Family Care Center LLC, a 693-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2021
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Practice location Address checks out

5360 N Academy Blvd Ste 290
Colorado Springs, CO 80918-4038
Phone: (719) 286-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0019385 (CO)

Record details

NPI number1073284634
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2021
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Colorado Springs