Active NPI
Angelo Anthony Ciliberti II, MA, LPC, CGP
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1285161141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0005770
- Practice address
- 331 Maxwell Ave
Boulder, CO 80304-3972 - Phone
- (303) 949-5577
- Fax
- (303) 949-5577
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0005770 | CO | Primary |
Addresses
Primary practice location
331 Maxwell Ave
Boulder, CO 80304-3972
Mailing address
1503 Centaur Cir
Lafayette, CO 80026-2847
Phone (303) 949-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-4601316 | Other | CO | COLORADO BUSINESS BUREAU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005770 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1285161141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 CENTAUR CIR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262847",
"telephone_number": "303-949-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MAXWELL AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043972",
"telephone_number": "303-949-5577",
"fax_number": "303-949-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CILIBERTI",
"first_name": "ANGELO",
"middle_name": "ANTHONY",
"name_suffix": "II",
"credential": "MA, LPC, CGP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0005770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO BUSINESS BUREAU",
"identifier": "81-4601316",
"state": "CO"
}
],
"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 May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.