Organization Active NPI

Bridget Borsdorf, LLC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1093553513
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRIDGET BORSDORF, LLC
Practice address
3775 Iris Ave Ste 1B
Boulder, CO 80301-2043
Phone
(970) 481-6374
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Bridget Borsdorf, LPCNPI 1891210068
Title
Ceo
Phone
(970) 481-6374

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3775 Iris Ave Ste 1B
Boulder, CO 80301-2043

Mailing address

3775 Iris Ave Ste 1B
Boulder, CO 80301-2043
Phone (970) 481-6374

Other practice location 1

5130 W 80th Ave Ste 100
Westminster, CO 80030-4447
Phone (303) 499-0844

Other names 1

  • Bridge Center for Play Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3775 Iris Ave
Ste 1B
Boulder, CO 80301
Phone (719) 426-7016

5130 W 80th Ave
Ste 100
Westminster, CO 80030
Phone (303) 499-0844

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1093553513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 IRIS AVE STE 1B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012043",
            "telephone_number": "970-481-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 IRIS AVE STE 1B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012043",
            "telephone_number": "970-481-6374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 W 80th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800304447",
            "country_code": "US",
            "telephone_number": "303-499-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGET BORSDORF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "BORSDORF",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-481-6374",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Center for Play Therapy",
            "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 Jul 18, 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.