Organization Active NPI

Third Culture Somatics

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1053137562
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THIRD CULTURE SOMATICS
Practice address
2735 Iris Ave Ste C3
Boulder, CO 80304-2436
Phone
(720) 773-0578
NPI assigned
Nov 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
M Mikulinsky, LPC
Title
Owner and Counselor
Phone
(720) 773-0578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2735 Iris Ave Ste C3
Boulder, CO 80304-2436

Mailing address

2735 Iris Ave Ste C3
Boulder, CO 80304-2436
Phone (720) 773-0578

National Provider Directory

National Provider Directory

Locations

2735 Iris Ave
Ste C3
Boulder, CO 80304
Phone (720) 773-0578

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": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1053137562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 IRIS AVE STE C3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042436",
            "telephone_number": "720-773-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 IRIS AVE STE C3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042436",
            "telephone_number": "720-773-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD CULTURE SOMATICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "MIKULINSKY",
        "authorized_official_first_name": "M",
        "authorized_official_title_or_position": "OWNER AND COUNSELOR",
        "authorized_official_telephone_number": "720-773-0578",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Nov 29, 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.