Active NPI
Clara A McGonigle, LSW
- Addiction (Substance Use Disorder) Counselor
- Boulder, CO
National Provider Identifier
1316464829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1333 Iris Ave
Boulder, CO 80304-2226 - Phone
- (303) 413-6223
- Fax
- (303) 413-6325
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1333 Iris Ave
Boulder, CO 80304-2226
Mailing address
1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 413-6223
Other practice location 1
8407 Bryant St
Westminster, CO 80031-3809
Phone (303) 487-7776
Other practice location 2
850 23rd Ave Ste A
Longmont, CO 80501-1115
Phone (303) 245-0123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316464829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 IRIS AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042226",
"telephone_number": "303-413-6223",
"fax_number": "303-413-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 IRIS AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042226",
"telephone_number": "303-413-6223",
"fax_number": "303-413-6325"
}
],
"practiceLocations": [
{
"address_1": "8407 Bryant St",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800313809",
"country_code": "US",
"telephone_number": "303-487-7776",
"fax_number": "303-487-7868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 23rd Ave Ste A",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805011115",
"country_code": "US",
"telephone_number": "303-245-0123",
"fax_number": "303-245-0119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGONIGLE",
"first_name": "CLARA",
"middle_name": "A",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.