Bristlecone Family Counseling Mental Health Therapy for Children

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRISTLECONE FAMILY COUNSELING MENTAL HEALTH THERAPY FOR CHILDREN

Doing business as

Bristlecone Family Counseling

Practice address

700 Valley View Dr
Woodland Park, CO 80863-8370

Phone

(719) 661-9323

Fax

(719) 434-9930

NPI assigned

Oct 11, 2020

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamra Lee Bok, LPCNPI 1154653467

Title

Executive Director

Phone

(719) 283-7990

Specialties & licenses 1

Addresses

Other names 1

• Bristlecone Family Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Tamra Lee Bok, LPC

  • Professional Counselor
  • Woodland Park, CO
  • NPI 1154653467
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1134727308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VALLEY VIEW DR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638370",
            "telephone_number": "719-661-9323",
            "fax_number": "719-434-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VALLEY VIEW DR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638370",
            "telephone_number": "719-661-9323",
            "fax_number": "719-434-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTLECONE FAMILY COUNSELING MENTAL HEALTH THERAPY FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "BOK",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-283-7990",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristlecone Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamra Lee Bok, LPC
• Tahlia Lynn Bonnett, RMT
• Christine Marie Bredemeier, CSTFA
• Harold Edward Bridgeman, DDS
• Margaret Brimm, CCJS, CAS
• Can DO Attitude LLC (Questwell)
• Taylor Meckenzie Cantrell, PA-C
• Chad Joseph Carubia, DDS
• Cascade Behavior Solutions
• Catholic Health Initiatives Colorado (Langstaff Brown Medical Center)

• Professional Counselor in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.