Active NPI
Infinite Self Counseling and Wellness LLC
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1104737600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INFINITE SELF COUNSELING AND WELLNESS LLC
- Practice address
- 595 Canyon Blvd Ste D
Boulder, CO 80302-5125 - Phone
- (303) 949-3636
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- 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
- Ms. Lori Elizabeth Allen, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (303) 949-3636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
595 Canyon Blvd Ste D
Boulder, CO 80302-5125
Mailing address
807 Hays Cir
Longmont, CO 80504-1345
Phone (303) 949-3636
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Boulder, CO
- NPI 1578007860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1104737600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 HAYS CIR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805041345",
"telephone_number": "303-949-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 CANYON BLVD STE D",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025125",
"telephone_number": "303-949-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITE SELF COUNSELING AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "303-949-3636",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"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 Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.