NPIMap

Organization Active NPI

The Other Road Counseling PLLC

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1336873066
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE OTHER ROAD COUNSELING PLLC
Practice address
6640 Gunpark Dr Ste 101
Boulder, CO 80301-7001
Phone
(970) 217-2486
NPI assigned
Jul 9, 2022
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mallorie Danielle SmolenNPI 1346597887
Title
Owner
Phone
(970) 573-1655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6640 Gunpark Dr Ste 101
Boulder, CO 80301-7001

Mailing address

2004 W 15TH St Ste 2
Loveland, CO 80538-3551
Phone (720) 446-6549

National Provider Directory

National Provider Directory
Tax ID family
The Other Road Counseling PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1365 Forest Park Cir
Ste 2021365
Lafayette, CO 80026

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1336873066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 W 15TH ST STE 2",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383551",
            "telephone_number": "720-446-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 GUNPARK DR STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803017001",
            "telephone_number": "970-217-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OTHER ROAD COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-09",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "SMOLEN",
        "authorized_official_first_name": "MALLORIE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-573-1655"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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 Feb 29, 2024; 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.