NPIMap

Organization Active NPI

Boulder Addictions Counseling LLC

  • Community/Behavioral Health Agency
  • Boulder, CO
National Provider Identifier
1346600277
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ACD.0000346 Issued in CO
Legal business name
BOULDER ADDICTIONS COUNSELING LLC
Practice address
1800 30TH St
Suite 207
Boulder, CO 80301-1088
Phone
(424) 646-3385
NPI assigned
Mar 4, 2016
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Thomas Midgley, MA, LAC, LPCNPI 1831431337
Title
Clinical Director
Phone
(720) 989-4987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ACD.0000346 CO Primary
Community/Behavioral Health Agency 251S00000X LPC.0012761 CO

Addresses

Primary practice location

1800 30TH St
Suite 207
Boulder, CO 80301-1088

Mailing address

1800 30TH St
Suite 207
Boulder, CO 80301-1088
Phone (424) 646-3385

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, 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": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1346600277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 30TH ST",
            "address_2": "SUITE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011088",
            "telephone_number": "424-646-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST",
            "address_2": "SUITE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011088",
            "telephone_number": "424-646-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER ADDICTIONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "MIDGLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-989-4987",
        "authorized_official_credential": "MA, LAC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "ACD.0000346",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "LPC.0012761",
            "primary": false
        }
    ],
    "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 4, 2016; 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.