Active NPI
Jeffrey Michael Price
- Addiction (Substance Use Disorder) Counselor
- Boulder, CO
National Provider Identifier
1376051243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 86
- Practice address
- 2955 Valmont Rd Ste 230
Boulder, CO 80301-1360 - Phone
- (303) 817-7565
- NPI assigned
- Jan 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3596 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86 | CO | Primary |
Addresses
Primary practice location
2955 Valmont Rd Ste 230
Boulder, CO 80301-1360
Mailing address
PO Box 530
Boulder, CO 80306-0530
Phone (303) 817-7565
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3596 | CO | MD | Professional Counselor |
| 86 | CO | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515801600000",
"number": "1376051243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530",
"city": "BOULDER",
"state": "CO",
"postal_code": "803060530",
"telephone_number": "303-817-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 VALMONT RD STE 230",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011360",
"telephone_number": "303-817-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-13",
"last_updated": "2018-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "3596",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "86",
"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 Jan 13, 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.