Individual provider Active NPI

David Richard Dunlap, M.A.

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1336512482
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC.0105383 Issued in CO
Practice address
1200 Yarmouth Ave
Unit C-1B
Boulder, CO 80304-4803
Phone
(303) 786-9314
Fax
(720) 554-8043
NPI assigned
Nov 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0105383 CO Primary

Addresses

Primary practice location

1200 Yarmouth Ave
Unit C-1B
Boulder, CO 80304-4803

Mailing address

1200 Yarmouth Ave
Unit C-1B
Boulder, CO 80304-4803
Phone (303) 786-9314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 31, 2024 through Mar 31, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NLC.0105383COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1336512482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 YARMOUTH AVE",
            "address_2": "UNIT C-1B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044803",
            "telephone_number": "303-786-9314",
            "fax_number": "720-554-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 YARMOUTH AVE",
            "address_2": "UNIT C-1B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044803",
            "telephone_number": "303-786-9314",
            "fax_number": "720-554-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0105383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.