Individual provider Active NPI

James Agati Jr., LPCC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1053239392
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0024983 Issued in CO
Practice address
4730 Table Mesa Dr # C-100
Boulder, CO 80305-5560
Phone
(720) 893-0680
NPI assigned
Jul 6, 2026
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0024983 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

4730 Table Mesa Dr # C-100
Boulder, CO 80305-5560

Mailing address

4730 Table Mesa Dr # C-100
Boulder, CO 80305-5560
Phone (720) 893-0680

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2026.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1053239392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 TABLE MESA DR # C-100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055560",
            "telephone_number": "720-893-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 TABLE MESA DR # C-100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055560",
            "telephone_number": "720-893-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGATI",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0024983",
            "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 Jul 6, 2026; 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.