Organization Active NPI

Opal Counseling Center, LLC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1356855928
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0014123 Issued in CO
Legal business name
OPAL COUNSELING CENTER, LLC
Practice address
1480 Lee Hill Dr. #7
Boulder, CO 80304
Phone
(720) 507-6725
NPI assigned
Nov 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Catherine Mathon, MA, LPCNPI 1548773542
Title
Owner
Phone
(720) 507-6725

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC0014123 CO
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC0014123 CO
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC0014123 CO Primary

Addresses

Primary practice location

1480 Lee Hill Dr. #7
Boulder, CO 80304

Mailing address

1480 Lee Hill Dr. Unit 7
Boulder, CO 80304-0872
Phone (720) 507-6725

Other practice location 1

8778 Arapahoe Rd
Boulder, CO 80303-1677
Phone (720) 507-6725

Other practice location 2

1480 Lee Hill Rd Unit 7
Boulder, CO 80304-0872
Phone (720) 507-6725

National Provider Directory

National Provider Directory

Locations

1480 Lee Hill Dr
Unit 7
Boulder, CO 80304
Phone (303) 443-1027

Practitioners & affiliated clinicians

Practitioners 2

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": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356855928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 LEE HILL DR. UNIT 7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040872",
            "telephone_number": "720-507-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 LEE HILL DR. #7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80304",
            "telephone_number": "720-507-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8778 Arapahoe Rd",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031677",
            "country_code": "US",
            "telephone_number": "720-507-6725",
            "fax_number": "720-745-4786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1480 Lee Hill Rd Unit 7",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803040872",
            "country_code": "US",
            "telephone_number": "720-507-6725",
            "fax_number": "720-745-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPAL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MATHON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-507-6725",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC0014123",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC0014123",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0014123",
            "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 17, 2018; 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.