Ioanna Petropoulou, PSYCHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NLC.0110102 Issued in CO

Practice address

2525 Arapahoe Ave # E4-716
Boulder, CO 80302-6720

Phone

(720) 574-0884

NPI assigned

Mar 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1255918009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 37TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032444",
            "telephone_number": "720-539-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE # E4-716",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "720-574-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROPOULOU",
        "first_name": "IOANNA",
        "name_prefix": "Dr.",
        "credential": "PSYCHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0110102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Anne Peterson, PA-C
• Tina Leanne Peterson, MA, LPCC
• Vicky Ann Peterson, LCSW
• Daniel Petitti
• James N. Petri, M.A.
• Katherine Helen Petty, PHD
• Stephanie Peverill
• Caitlin Pewthers
• Alexis Pezdek
• Mary Pezzella, DPT

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.