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

Tristan Benzon

Individual provider Professional Counselor · NPI 1629831417

Tristan Benzon is a Mental Health Counselor in Broomfield, Colorado. Qualified in 2022, 4 years ago. Licensed in Colorado and Missouri.

Years since qualifying
4
Licensed in
CO, MO
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

12303 Airport Way Ste 125
Broomfield, CO 80021-2729
Phone: (970) 310-3406
Fax: (888) 965-4615
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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.0023545 (CO)
Counselor Taxonomy 101Y00000X · Licence 2023036734 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 20205030280 (MO)

Record details

NPI number1629831417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address12303 Airport Way Ste 125, Broomfield, CO 80021-2729

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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