Individual provider Active NPI

Coco Caporal

  • Marriage & Family Therapist
  • Boulder, CO
National Provider Identifier
1003202284
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0002267 Issued in CO
Practice address
2975 Valmont Rd Ste 300
Boulder, CO 80301-1361
Phone
(303) 415-1025
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT109012 CA
Marriage & Family Therapist 106H00000X IMF93778 CA
Marriage & Family Therapist 106H00000X MFT.0002267 CO Primary

Addresses

Primary practice location

2975 Valmont Rd Ste 300
Boulder, CO 80301-1361

Mailing address

2975 Valmont Rd Ste 300
Boulder, CO 80301-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116000764 CO Practitioner - Marriage and Family Therapist 5496118499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service of ColoradoGroup PAC ID 6305734203, 10 clinicians

Practice addresses (Care Compare)

2975 Valmont Rd
Suite 300
Boulder, CO 80301-1361
Phone (720) 722-4496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF93778CAMDMarriage & Family Therapist
LMFT109012CAMDMarriage & Family Therapist
MFT.0002267COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Colorado Current Accepting new patients
Jewish Family Service of Colorado CurrentSince Jan 1, 2024 Accepting new patients

Locations

2975 Valmont Rd
Ste 300
Boulder, CO 80301
Phone (303) 440-4234

3201 S Tamarac Dr
Denver, CO 80231
Phone (303) 597-5000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1003202284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 VALMONT RD STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 VALMONT RD STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011361",
            "telephone_number": "303-415-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPORAL",
        "first_name": "COCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT109012",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF93778",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.