Active NPI
Nikolas Maslow, M.A., LPC, CGP
- Professional Counselor
- Boulder, CO
National Provider Identifier
1205110632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5566
- Practice address
- 2825 Marine St
Suite 205
Boulder, CO 80303-1027 - Phone
- (719) 214-0004
- NPI assigned
- Oct 4, 2011
- Last updated
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 5566 | CO | Primary |
Addresses
Primary practice location
2825 Marine St
Suite 205
Boulder, CO 80303-1027
Mailing address
226 Iris St
Broomfield, CO 80020-2216
Phone (719) 214-0004
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 |
|---|---|---|---|
| 5566 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1205110632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 IRIS ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202216",
"telephone_number": "719-214-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 MARINE ST",
"address_2": "SUITE 205",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031027",
"telephone_number": "719-214-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASLOW",
"first_name": "NIKOLAS",
"credential": "M.A., LPC, CGP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5566",
"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 4, 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.