Individual provider Active NPI

Yukit Tse

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1346999612
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC.0018359 Issued in CO
Practice address
2707 Valmont Rd Apt 306D
Boulder, CO 80304-2998
Phone
(720) 326-5934
NPI assigned
Mar 22, 2022
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC.0018359 CO Primary

Addresses

Primary practice location

2707 Valmont Rd Apt 306D
Boulder, CO 80304-2998

Mailing address

2707 Valmont Rd Apt 306D
Boulder, CO 80304-2998
Phone (720) 326-5934

Other identifiers 1

IdentifierTypeStateIssuer
LPCC.0018359OtherCODORA

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
I20240214000298 CO Practitioner - Mental Health Counselor 1850735283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healingquest LLPGroup PAC ID 3072956887, 8 clinicians

Practice addresses (Care Compare)

3434 47TH St
Suite 130
Boulder, CO 80301-1802
Phone 3032252708100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0018359COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healingquest LLC CurrentSince Apr 17, 2024 Accepting new patients
Jefferson Center for Mental Health Past Accepting new patients

Locations

3434 47th St
Ste 130
Boulder, CO 80301
Phone (303) 225-2708

Organizations & group practices 2

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": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1346999612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 VALMONT RD APT 306D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042998",
            "telephone_number": "720-326-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 VALMONT RD APT 306D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042998",
            "telephone_number": "720-326-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSE",
        "first_name": "YUKIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0018359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "LPCC.0018359",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.