Active NPI
Beth Laurie Burcham, LPC
- Professional Counselor
- Boulder, CO
National Provider Identifier
1053503441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2558
- Practice address
- 1900 13TH St
Suite 305
Boulder, CO 80302-5240 - Phone
- (303) 717-2177
- Fax
- (303) 444-8180
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2558 | CO | Primary |
Addresses
Primary practice location
1900 13TH St
Suite 305
Boulder, CO 80302-5240
Mailing address
1900 13TH St
Suite 305
Boulder, CO 80302-5240
Phone (303) 717-2177
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2558 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1053503441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 13TH ST",
"address_2": "SUITE 305",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025240",
"telephone_number": "303-717-2177",
"fax_number": "303-444-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 13TH ST",
"address_2": "SUITE 305",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025240",
"telephone_number": "303-717-2177",
"fax_number": "303-444-8180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHAM",
"first_name": "BETH",
"middle_name": "LAURIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2558",
"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 Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.