Organization Active NPI

Stride Forward Colorado LLC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1336908474
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STRIDE FORWARD COLORADO LLC
Practice address
3301 Arapahoe Ave Unit 413
Boulder, CO 80303-1077
Phone
(267) 226-5019
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Krista HarrisNPI 1427816719
Title
Ceo
Phone
(267) 226-5019

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3301 Arapahoe Ave Unit 413
Boulder, CO 80303-1077

Mailing address

3301 Arapahoe Ave Unit 413
Boulder, CO 80303-1077
Phone (267) 226-5019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1336908474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 ARAPAHOE AVE UNIT 413",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031077",
            "telephone_number": "267-226-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ARAPAHOE AVE UNIT 413",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031077",
            "telephone_number": "267-226-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE FORWARD COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-226-5019"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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 Mar 18, 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.