Individual provider Active NPI

Gena Elena Boney, MA, LPC

  • Professional Counselor
  • Lakewood, CO
National Provider Identifier
1124293055
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6103 Issued in CO
Practice address
5801 W Alameda Ave
Lakewood, CO 80226-3583
Phone
(303) 432-5444
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6103 CO Primary

Addresses

Primary practice location

5801 W Alameda Ave
Lakewood, CO 80226-3583

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300

Other practice location 1

4643 Wadsworth Blvd
Wheat Ridge, CO 80033-3305
Phone (303) 425-0300

Other identifiers 1

IdentifierTypeStateIssuer
52629007MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002317 CO Practitioner - Mental Health Counselor 9537601604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6103COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Center for Mental Health CurrentSince Apr 28, 2024 Accepting new patients
Jefferson Center for Mental Health CurrentSince Apr 28, 2024 Accepting new patients

Locations

7828 Vance Dr
Arvada, CO 80003
Phone (303) 425-5700

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

12055 W 2nd Pl
Lakewood, CO 80228
Phone (303) 425-4480

5801 W Alameda Ave
Lakewood, CO 80226
Phone (303) 432-5444

3595 S Teller St
Ste 200
Lakewood, CO 80235
Phone (720) 713-0587

9485 W Colfax Ave
Lakewood, CO 80215
Phone (303) 432-5200

4643 Wadsworth Blvd
Wheat Ridge, CO 80033
Phone (303) 463-7400

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

4851 Independence St
Ste 100
Wheat Ridge, CO 80033
Phone (303) 456-5495

4851 Independence St
Wheat Ridge, CO 80033
Phone (303) 432-5115

9595 W 49th Ave
Wheat Ridge, CO 80033
Phone (303) 425-6328

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1124293055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336715",
            "telephone_number": "303-425-0300",
            "fax_number": "303-432-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 W ALAMEDA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263583",
            "telephone_number": "303-432-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4643 Wadsworth Blvd",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800333305",
            "country_code": "US",
            "telephone_number": "303-425-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONEY",
        "first_name": "GENA",
        "middle_name": "ELENA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "6103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52629007",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.