Organization Active NPI

Full Circle Wholeness, LLC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1104613462
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FULL CIRCLE WHOLENESS, LLC
Practice address
1650 38TH St Ste 100E
Boulder, CO 80301-2624
Phone
(720) 784-5222
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Devin Lafferty, LPC, ATR-PNPI 1326755968
Title
Counselor, Art Therapist
Phone
(720) 784-5222

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X

Addresses

Primary practice location

1650 38TH St Ste 100E
Boulder, CO 80301-2624

Mailing address

1650 38TH St Ste 100E
Boulder, CO 80301-2624
Phone (720) 784-5222

Other names 1

  • Full Circle Wholeness Doing business as

National Provider Directory

National Provider Directory

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": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1104613462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012624",
            "telephone_number": "720-784-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012624",
            "telephone_number": "720-784-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE WHOLENESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "LAFFERTY",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "COUNSELOR, ART THERAPIST",
        "authorized_official_telephone_number": "720-784-5222",
        "authorized_official_credential": "LPC, ATR-P"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Wholeness",
            "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 Apr 21, 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.