NPIMap

Organization Active NPI

Wholly Healing Therapy LLC

  • Social Worker
  • Boulder, CO
National Provider Identifier
1245917251
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
WHOLLY HEALING THERAPY LLC
Practice address
1035 Pearl St Ste 315
Boulder, CO 80302-5130
Phone
(570) 899-5038
NPI assigned
Jun 30, 2023
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Brionna Murray, LCSWNPI 1104437656
Title
Owner
Phone
(570) 899-5038

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1035 Pearl St Ste 315
Boulder, CO 80302-5130

Mailing address

1035 Pearl St Ste 315
Boulder, CO 80302-5130
Phone (570) 899-5038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250801001395 CO Part B Supplier - Clinic/Group Practice 7618485640 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory
Tax ID family
Wholly Healing Therapy LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1245917251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PEARL ST STE 315",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025130",
            "telephone_number": "570-899-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PEARL ST STE 315",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025130",
            "telephone_number": "570-899-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLLY HEALING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRIONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-899-5038",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "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 18, 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.