Majestic Access and Recovery Services
NPI 1104756188ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Fort Collins, CO
Counselor, Addiction (Substance Use Disorder) in Fort Collins, Colorado, registered in NPPES in May 2026, part of Colorado State University. The authorized official on file is Bradley Thomas Conner, PH.D., Professor.
Overview
| NPI | 1104756188 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado State University |
| NPI issued | May 21, 2026 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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