Individual provider Active NPI

Alicia Ankenman, MA, LPC, SEP, BSP

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1265666440
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0021596 Issued in CO
Practice address
2730 29TH St
Boulder, CO 80301-1202
Phone
(541) 444-0983
NPI assigned
May 4, 2009
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X C2975 OR
Mental Health Counselor 101YM0800X LPC.0021596 CO
Professional Counselor 101YP2500X C2975 OR
Professional Counselor 101YP2500X LPC.0021596 CO Primary

Addresses

Primary practice location

2730 29TH St
Boulder, CO 80301-1202

Mailing address

2730 29TH St
Boulder, CO 80301-1202
Phone (541) 444-0983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 16, 2026 through Feb 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C2975ORMDMental Health Counselor
LPC.0021596COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1265666440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 29TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011202",
            "telephone_number": "541-444-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 29TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011202",
            "telephone_number": "541-444-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKENMAN",
        "first_name": "ALICIA",
        "credential": "MA, LPC, SEP, BSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2975",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0021596",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2975",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0021596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.