Active NPI
Vista Counseling, PLLC
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1053138784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- VISTA COUNSELING, PLLC
- Practice address
- 5485 Conestoga CT
Boulder, CO 80301 - Phone
- (720) 600-6035
- NPI assigned
- Sep 24, 2024
- Last updated
- Sep 24, 2024
- 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
- Thomas J Devine, M.ED, LPC
- Title
- Therapist
- Phone
- (720) 600-6035
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5485 Conestoga CT
Boulder, CO 80301
Mailing address
PO Box 217
Arvada, CO 80001-0217
Phone (720) 600-6035
National Provider Directory
National Provider DirectoryLocations
5485 Conestoga Ct
Ste 100
Boulder, CO 80301
Phone (720) 600-6035
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Arvada, CO
- NPI 1811270481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1053138784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "ARVADA",
"state": "CO",
"postal_code": "800010217",
"telephone_number": "720-600-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5485 CONESTOGA CT",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "720-600-6035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "DEVINE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "720-600-6035",
"authorized_official_credential": "M.ED, 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 Sep 24, 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.