NPIMap

Organization Active NPI

Waking Life Counseling, LLC

  • Mental Health Counselor
  • Broomfield, CO
National Provider Identifier
1114386885
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WAKING LIFE COUNSELING, LLC
Practice address
6363 W 120TH Ave
Suite 200
Broomfield, CO 80020-0300
Phone
(303) 253-2342
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Mrs. Katie-Beth Whitcomb, LPC, RPT, NCCNPI 1376885848
Title
Counselor
Phone
(303) 253-2342

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6363 W 120TH Ave
Suite 200
Broomfield, CO 80020-0300

Mailing address

6363 W 120TH Ave
Suite 200
Broomfield, CO 80020-0300
Phone (303) 253-2342

National Provider Directory

National Provider Directory

Locations

6363 W 120th Ave
Ste 200
Broomfield, CO 80020
Phone (303) 253-2342

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1114386885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 W 120TH AVE",
            "address_2": "SUITE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800200300",
            "telephone_number": "303-253-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 W 120TH AVE",
            "address_2": "SUITE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800200300",
            "telephone_number": "303-253-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKING LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "WHITCOMB",
        "authorized_official_first_name": "KATIE-BETH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "303-253-2342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, RPT, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.