Organization Active NPI

Eden Tree Counseling, LLC

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1083415046
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EDEN TREE COUNSELING, LLC
Practice address
6662 Gunpark Dr Ste 101
Boulder, CO 80301-3386
Phone
(303) 899-9364
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Deanna Heimsoth, LCSWNPI 1528363157
Title
Owner
Phone
(303) 889-9364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6662 Gunpark Dr Ste 101
Boulder, CO 80301-3386

Mailing address

117 Dawson PL
Longmont, CO 80504-2932
Phone (303) 889-9364

National Provider Directory

National Provider Directory

Locations

6662 Gunpark Dr
Ste 101
Boulder, CO 80301
Phone (303) 408-9473

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1083415046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 DAWSON PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042932",
            "telephone_number": "303-889-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6662 GUNPARK DR STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013386",
            "telephone_number": "303-899-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN TREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "HEIMSOTH",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-889-9364",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Mar 24, 2025; 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.