Organization Active NPI

Prosocial, LLC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1205799236
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROSOCIAL, LLC
Practice address
1800 30TH St Ofc 100a
Boulder, CO 80301-1088
Phone
(720) 310-5512
NPI assigned
Dec 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Lydia Mathis, LPCNPI 1780355867
Title
Founder
Phone
(937) 999-8374

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1800 30TH St Ofc 100a
Boulder, CO 80301-1088

Mailing address

3800 Colorado Ave Unit B
Boulder, CO 80303-2102
Phone (720) 310-5512

National Provider Directory

National Provider Directory

Locations

1800 30th St
Ofc 100A
Boulder, CO 80301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1205799236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COLORADO AVE UNIT B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032102",
            "telephone_number": "720-310-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST OFC 100A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011088",
            "telephone_number": "720-310-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSOCIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "937-999-8374",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 30, 2026; 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.