Individual provider Active NPI

Mercedes Becker, LPCC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1124694062
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0018466 Issued in CO
Practice address
3400 Table Mesa Dr Ste 102
Boulder, CO 80305-5850
Phone
(720) 295-8203
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0018466 CO Primary

Addresses

Primary practice location

3400 Table Mesa Dr Ste 102
Boulder, CO 80305-5850

Mailing address

7310 W 52ND Ave # A145
Arvada, CO 80002-3725
Phone (720) 295-8203

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mercedes@yourwellspringtherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0018466COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1124694062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 W 52ND AVE # A145",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023725",
            "telephone_number": "720-295-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TABLE MESA DR STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055850",
            "telephone_number": "720-295-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MERCEDES",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0018466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mercedes@yourwellspringtherapy.com",
            "affiliation": "N",
            "address_1": "3400 Table Mesa Dr Ste 102",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803055850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 1, 2021; 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.