Individual provider Active NPI

Nancy M. Ortenberg, M,A., LMFT

  • Counselor
  • Boulder, CO
National Provider Identifier
1053590885
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MFT 287 Issued in CO
Practice address
1910 7TH St
Boulder, CO 80302-5026
Phone
(303) 449-2011
Fax
(303) 449-8525
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MFT 287 CO Primary
Marriage & Family Therapist 106H00000X MFT 287 CO

Addresses

Primary practice location

1910 7TH St
Boulder, CO 80302-5026

Mailing address

1910 7TH St
Boulder, CO 80302-5026
Phone (303) 449-2011

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

LicenseStateTypeSpecialty
MFT 287COMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1053590885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 7TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025026",
            "telephone_number": "303-449-2011",
            "fax_number": "303-449-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 7TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025026",
            "telephone_number": "303-449-2011",
            "fax_number": "303-449-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTENBERG",
        "first_name": "NANCY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M,A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "MFT 287",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT 287",
            "primary": false
        }
    ],
    "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 May 8, 2009; 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.