OrganizationActive
Mindful Therapy Group of Colorado, P.C.
NPI 1124907407 · Psychiatric/Mental Health Nurse Practitioner · Fort Collins, CO
Provider details
- NPI number
- 1124907407
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Pauly, Payor Relationship Manager(425) 640-7009
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3711 Jfk Pkwy Ste 310
Fort Collins, CO 80525-2658
Phone: (970) 422-7260
Fax: (800) 377-1553
Street-level locationGet directions
Mailing address
6505 216th St Sw Ste 100
Mountlake Terrace, WA 98043-2089
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.