Organization Active NPI

Gestalt Center for Growth and Training LLC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1225858616
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GESTALT CENTER FOR GROWTH AND TRAINING LLC
Practice address
6610 Gunpark Dr Ste 202
Boulder, CO 80301-3579
Phone
(303) 995-6132
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Authorized official

Name
Daniel BaurNPI 1134316904
Title
Owner/LPC
Phone
(303) 995-6132

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

6610 Gunpark Dr Ste 202
Boulder, CO 80301-3579

Mailing address

6610 Gunpark Dr Ste 202
Boulder, CO 80301-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319000716 CO Part B Supplier - Clinic/Group Practice 6608398649 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory
Tax ID family
Gestalt Center for Growth and Training2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742688000000",
    "number": "1225858616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 GUNPARK DR STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 GUNPARK DR STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013579",
            "telephone_number": "303-995-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESTALT CENTER FOR GROWTH AND TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A",
        "authorized_official_last_name": "BAUR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "303-995-6132"
    },
    "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 Mar 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.