Individual provider Active NPI

Gertie Breffle, MA, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Boulder, CO
National Provider Identifier
1336619899
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
NLC.0106717 Issued in CO
Practice address
2503 Walnut St Ste 201
Boulder, CO 80302-5745
Phone
(303) 872-4077
NPI assigned
Nov 27, 2018
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9018MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405000034 CO Practitioner - Mental Health Counselor 2668810938 Reassigns benefits to 1 organization

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
Healing ConnectionsGroup PAC ID 1759729023, 3 clinicians

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

LicenseStateTypeSpecialty
NLC.0106717COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Connections CurrentSince Mar 21, 2024 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 PastSince Jun 18, 2023 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.

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

Verify at the official NPI Registry.