Gudrun A Dilger, MED, MA, LPC, CACIII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6186 Issued in CO

Practice address

1790 30TH St
Suite 245
Boulder, CO 80301-1022

Phone

(303) 859-5778

Fax

(303) 449-2473

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Avani Gudrun Dilger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Education

State licenses

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1194012583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 30TH ST",
            "address_2": "SUITE 245",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011022",
            "telephone_number": "303-859-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 30TH ST",
            "address_2": "SUITE 245",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011022",
            "telephone_number": "303-859-5778",
            "fax_number": "303-449-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILGER",
        "first_name": "GUDRUN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MED, MA, LPC, CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6186",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVANI",
            "last_name": "DILGER",
            "middle_name": "GUDRUN",
            "prefix": "MS.",
            "credential": "MED, MA, LPC, CACIII",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Casey Diekmann
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• Frank Alexander Dilallo
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• Dillon Companies LLC (King Soopers Pharmacy)
• Dillon Companies LLC (King Soopers Pharmacy)
• Emma Dimetrosky
• Sona Dimidjian, PH.D.

• Addiction (Substance Use Disorder) Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.