Active NPI
Joseph William Schultz, M.A., L.P.C.
- Professional Counselor
- Boulder, CO
National Provider Identifier
1164548574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2181
- Practice address
- 2818 13TH St
Boulder, CO 80304-3518 - Phone
- (303) 440-5140
- Fax
- (303) 440-5144
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2181 | CO | Primary |
Addresses
Primary practice location
2818 13TH St
Boulder, CO 80304-3518
Mailing address
2818 13TH St
Boulder, CO 80304-3518
Phone (303) 440-5140
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2181 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Recovert, Inc. | Past | Accepting new patients | |
| Colorado Recovery LLC | Past | Accepting new patients |
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.
-
- Psychiatric Residential Treatment Facility
- Boulder, CO
- NPI 1144606294
-
- Community/Behavioral Health Agency
- Boulder, CO
- NPI 1962581140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164548574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 13TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043518",
"telephone_number": "303-440-5140",
"fax_number": "303-440-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 13TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043518",
"telephone_number": "303-440-5140",
"fax_number": "303-440-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.