Active NPI
Coco Caporal
- Marriage & Family Therapist
- Boulder, CO
National Provider Identifier
1003202284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT.0002267
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF93778 | CA | MD | Marriage & Family Therapist |
| LMFT109012 | CA | MD | Marriage & Family Therapist |
| MFT.0002267 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Colorado | Current | Accepting new patients | |
| Jewish Family Service of Colorado | Current | 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.
-
- Voluntary or Charitable Agency
- Denver, CO
- NPI 1336161371
-
- Community/Behavioral Health Agency
- Boulder, CO
- NPI 1265159842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.