Individual provider Active NPI

Olivia Howk-Pomykal

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1003698234
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
210 Ken Pratt Blvd Ste 140
Longmont, CO 80501-8655
Phone
(970) 281-5753
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CO Primary

Addresses

Primary practice location

210 Ken Pratt Blvd Ste 140
Longmont, CO 80501-8655

Mailing address

210 Ken Pratt Blvd Ste 140
Longmont, CO 80501-8655
Phone (970) 281-5753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2024 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1003698234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 KEN PRATT BLVD STE 140",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018655",
            "telephone_number": "970-281-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 KEN PRATT BLVD STE 140",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018655",
            "telephone_number": "970-281-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWK-POMYKAL",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.