Soulterra Cousnseling P.L.L.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOULTERRA COUSNSELING P.L.L.C

Practice address

75 Manhattan Dr Ste 204
Boulder, CO 80303-4252

Phone

(801) 872-8030

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Boulton, MA LPCNPI 1447911201

Title

Owner/Counselor

Phone

(801) 872-8030

Specialties & licenses 1

Addresses

Tax ID family

Soulterra Cousnseling PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Soulterra Cousnseling P.L.L.C

  • Professional Counselor
  • Longmont, CO
  • NPI 1366200578
  NPD tax ID
• Soulterra Cousnseling P.L.L.C

  • Professional Counselor
  • Longmont, CO
  • NPI 1629859566
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Jane Boulton, MA, LPC

  • Professional Counselor
  • Longmont, CO
  • NPI 1447911201
  NPD (past) Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1073371290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 FOSTER CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016713",
            "telephone_number": "801-872-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR STE 204",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034252",
            "telephone_number": "801-872-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULTERRA COUSNSELING P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BOULTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "801-872-8030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.