Active NPI
Gertie Breffle, MA, LPC
- Addiction (Substance Use Disorder) Counselor
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- NLC.0106717
- Practice address
- 2503 Walnut St Ste 201
Boulder, CO 80302-5745 - Phone
- (303) 872-4077
- NPI assigned
- Nov 27, 2018
- Last updated
- Jan 26, 2021
- 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 | NLC.0106717 | CO | Primary |
Addresses
Primary practice location
2503 Walnut St Ste 201
Boulder, CO 80302-5745
Mailing address
2503 Walnut St Ste 201
Boulder, CO 80302-5745
Phone (720) 627-9959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9018 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3731 Monterey PL
Boulder, CO 80301-1514
Phone (720) 627-9959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0106717 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Connections | Current | Accepting new patients | |
| Healing Connections LLC | Past | Accepting new patients | |
| Healing Connections LLC | Past | Accepting new patients | |
| Healing Connections LLC | Past | Accepting new patients | |
| Healing Connections LLC | Past | Accepting new patients | |
| Healing Connections LLC | Past | Accepting new patients | |
| Healing Connections LLC | Past | Accepting new patients |
Locations
1650 38th St
Ste 100E
Boulder, CO 80301
Phone (303) 330-3589
954 North St
Unit 305
Boulder, CO 80304
Phone (310) 920-2623
80 Garden Ctr
Ste 58
Broomfield, CO 80020
Phone (720) 507-3649
1800 W Littleton Blvd
Littleton, CO 80120
Phone (509) 480-2612
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1336619899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 WALNUT ST STE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025745",
"telephone_number": "720-627-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 WALNUT ST STE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025745",
"telephone_number": "303-872-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREFFLE",
"first_name": "GERTIE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "NLC.0106717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9018",
"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 Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.