Active NPI
Bridget Borsdorf, LLC
- Mental Health Counselor
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bridget Borsdorf, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Boulder, CO
- NPI 1891210068
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.