Active NPI
Joan Block, MA, LMFT
- Counselor
- Boulder, CO
National Provider Identifier
1356675904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 577
- Practice address
- 3797 Wonderland Hill Ave
Boulder, CO 80304-1041 - Phone
- (303) 449-1123
- NPI assigned
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 577 | CO | Primary |
Addresses
Primary practice location
3797 Wonderland Hill Ave
Boulder, CO 80304-1041
Mailing address
3797 Wonderland Hill Ave
Boulder, CO 80304-1041
Phone (303) 449-1123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1356675904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3797 WONDERLAND HILL AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041041",
"telephone_number": "303-449-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3797 WONDERLAND HILL AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041041",
"telephone_number": "303-449-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "JOAN",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "577",
"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 Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.