Heidi Bode, LPC
Individual provider Active NPI Professional Counselor · Bailey, CO
NPI 1124394291 · NPPES record last updated Mar 22, 2012
Key facts
- NPI
- 1124394291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6255 (CO)
- Practice address
- 851 Sleepy Hollow Dr
Bailey, CO 80421-2068 - Phone
- (303) 229-6692
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6255 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Adventist Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6255 | CO | Yes |
Addresses
Primary practice location
851 Sleepy Hollow Dr
Bailey, CO 80421-2068
Mailing address
851 Sleepy Hollow Dr
Bailey, CO 80421-2068
Phone (303) 229-6692
Other providers in Bailey, CO
- Jeanette Amels
- Andrew T. Taylor, DMD, PLLC
- Elizabeth Androulidakis
- Carleen F Babani
- Mary Baydarian
- Eric Russell Burns
- Osvaldo Cabral
- Patricia Calaway
- Sandra L Campbell
- Canoe Health Alliance LLC
All providers in Bailey, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.