Active NPI
Nathaniel Coakley, LPC
- Professional Counselor
- Boulder, CO
National Provider Identifier
1013061175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6501
- Practice address
- 100 Arapahoe Ave
Suite 12
Boulder, CO 80302-5854 - Phone
- (303) 818-6426
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 6501 | CO | Primary |
Addresses
Primary practice location
100 Arapahoe Ave
Suite 12
Boulder, CO 80302-5854
Mailing address
2525 Arapahoe Ave
Ste E4 #232
Boulder, CO 80302-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6501 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465084800000",
"number": "1013061175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 ARAPAHOE AVE",
"address_2": "STE E4 #232",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ARAPAHOE AVE",
"address_2": "SUITE 12",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025854",
"telephone_number": "303-818-6426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "NATHANIEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2016-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6501",
"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 Jun 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.