Boulder Journey Counseling

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

CSW.1059 Issued in CO

Legal business name

BOULDER JOURNEY COUNSELING

Practice address

5000 Butte St Lot 25
Boulder, CO 80301-2236

Phone

(303) 819-7393

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Jean Gehring, LCSW, CAC III

Title

Owner/Psychotherapist

Phone

(303) 819-7393

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1336653385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BUTTE ST LOT 25",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BUTTE ST LOT 25",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012236",
            "telephone_number": "303-819-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER JOURNEY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "GEHRING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-819-7393",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CAC III"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "CSW.1059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104194414",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Boulder, CO
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• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.