Active NPI
Wild Rose Counseling LLC
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1083428064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WILD ROSE COUNSELING LLC
- Practice address
- 3300 Arapahoe Ave Ste 203
Boulder, CO 80303-1044 - Phone
- (303) 834-7380
- NPI assigned
- Feb 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Rose Richards-Shrestha, MA, LPC
- Title
- Psychotherapist and Owner
- Phone
- (303) 834-7380
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
3300 Arapahoe Ave Ste 203
Boulder, CO 80303-1044
Mailing address
4516 Starboard CT
Boulder, CO 80301-3127
Phone (303) 834-7380
Other names 1
- Bodhi Tree Counseling
National Provider Directory
National Provider DirectoryLocations
3300 Arapahoe Ave
Ste 203
Boulder, CO 80303
Phone (303) 834-7380
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Boulder, CO
- NPI 1023729191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1083428064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4516 STARBOARD CT",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013127",
"telephone_number": "303-834-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 ARAPAHOE AVE STE 203",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031044",
"telephone_number": "303-834-7380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILD ROSE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-01",
"status": "A",
"authorized_official_last_name": "RICHARDS-SHRESTHA",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST AND OWNER",
"authorized_official_telephone_number": "303-834-7380",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bodhi Tree Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 3, 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.