Active NPI
Rainbow Flame Collaborative
- Clinical Social Worker
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Spenser-Nicholas Grey, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Fort Collins, CO
- NPI 1295259950
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.