Organization Active NPI

Rainbow Flame Collaborative

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1013641471
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RAINBOW FLAME COLLABORATIVE
Practice address
4845 Pearl East Cir Ste 118
PMB 68698
Boulder, CO 80301-6112
Phone
(720) 365-4497
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Victoria Spenser-Nicholas Grey, LCSWNPI 1295259950
Title
Core Director
Phone
(720) 365-4497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4845 Pearl East Cir Ste 118
PMB 68698
Boulder, CO 80301-6112

Mailing address

4845 Pearl East Cir Ste 118
PMB 68698
Boulder, CO 80301-6112
Phone (720) 365-4497

Other names 1

  • Into The Grey Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

4845 Pearl East Cir
Ste 118
Boulder, CO 80301
Phone (303) 917-3180

425 W Mulberry St
Ste 107
Fort Collins, CO 80521
Phone (720) 900-5898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1013641471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 PEARL EAST CIR STE 118",
            "address_2": "PMB 68698",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016112",
            "telephone_number": "720-365-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 PEARL EAST CIR STE 118",
            "address_2": "PMB 68698",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016112",
            "telephone_number": "720-365-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW FLAME COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "SPENSER-NICHOLAS",
        "authorized_official_title_or_position": "CORE DIRECTOR",
        "authorized_official_telephone_number": "720-365-4497",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Into The Grey Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.