Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Optum Behavioral Care of Colorado, PC

Organization Counseling Psychologist · NPI 1104688365

Optum Behavioral Care of Colorado, PC provides Counseling Psychologist services in Fond Du Lac, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

196 3rd St
Fond Du Lac, WI 54935-4418
Phone: (920) 733-2065
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X

Record details

NPI number1104688365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Johnson — Ceo · (704) 506-6267
Other names Delta Center Of Wisconsin
NPI enumeratedJanuary 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address11000 Optum Cir, Eden Prairie, MN 55344-2503