Active NPI
Christine Lynn Tierramar, LPC
- Mental Health Counselor
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0016510
- Practice address
- 4710 Table Mesa Dr
Boulder, CO 80305-4503 - Phone
- (313) 614-3177
- NPI assigned
- Jan 7, 2021
- Last updated
- Oct 17, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0016510 | CO | Primary |
Addresses
Primary practice location
4710 Table Mesa Dr
Boulder, CO 80305-4503
Mailing address
4636 Talbot Dr
Boulder, CO 80303-2620
Phone (313) 614-3177
Other practice location 1
4636 Talbot Dr
Boulder, CO 80303-2620
Phone (313) 614-3177
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humanistic Counseling, LLC | Counselor | Current | Accepting new patients |
Locations
1800 30th St
Ste 209D
Boulder, CO 80301
Phone (303) 752-6711
4710 Table Mesa Dr
Boulder, CO 80305
Phone (303) 499-9892
4710 Table Mesa Dr
Ste B
Boulder, CO 80305
Phone (303) 499-9892
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Boulder, CO
- NPI 1326700907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1184212813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4636 TALBOT DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032620",
"telephone_number": "313-614-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 TABLE MESA DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803054503",
"telephone_number": "313-614-3177"
}
],
"practiceLocations": [
{
"address_1": "4636 Talbot Dr",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803032620",
"country_code": "US",
"telephone_number": "313-614-3177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIERRAMAR",
"first_name": "CHRISTINE",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0016510",
"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 Oct 17, 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.