Active NPI
Woodswalk Counseling, LLC
- Counselor
- Arvada, CO
National Provider Identifier
1144985201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- WOODSWALK COUNSELING, LLC
- Practice address
- 7985 Vance Dr Ste 105
Arvada, CO 80003-2120 - Phone
- (720) 288-0860
- Fax
- (303) 479-7420
- NPI assigned
- Nov 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerome Myerson, MA, LPC, NCC
- Title
- Owner and Clinical Director
- Phone
- (720) 288-0033
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
7985 Vance Dr Ste 105
Arvada, CO 80003-2120
Mailing address
1601 29TH St Unit 1292
Boulder, CO 80301-1010
Phone (720) 288-0860
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336521434 | Other | INDIVIDUAL NPI FOR JEROME MYERSON | |
| 9000208556 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Woodswalk Counseling LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
- NPI 1730046814
Locations
7985 Vance Dr
Ste 105
Arvada, CO 80003
Phone (720) 288-0033
3307 S College Ave
Unit 200-10
Fort Collins, CO 80525
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
- NPI 1730046814
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Windsor, CO
- NPI 1851992176
-
- Professional Counselor
- Castle Rock, CO
- NPI 1477288579
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1144985201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 29TH ST UNIT 1292",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011010",
"telephone_number": "720-288-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7985 VANCE DR STE 105",
"city": "ARVADA",
"state": "CO",
"postal_code": "800032120",
"telephone_number": "720-288-0860",
"fax_number": "303-479-7420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODSWALK COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "MYERSON",
"authorized_official_first_name": "JEROME",
"authorized_official_title_or_position": "OWNER AND CLINICAL DIRECTOR",
"authorized_official_telephone_number": "720-288-0033",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, LPC, NCC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI FOR JEROME MYERSON",
"identifier": "1336521434",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000208556",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.