Organization Active NPI

Transformational Therapy Institute

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1386121846
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20181568363 Issued in CO
Legal business name
TRANSFORMATIONAL THERAPY INSTITUTE
Practice address
1905 15TH St # 683
Boulder, CO 80302-5413
Phone
(805) 679-1921
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Jeni Ambrose, PHDCNPI 1093255390
Title
President
Phone
(805) 679-1921

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 20181568363 CO Primary

Addresses

Primary practice location

1905 15TH St # 683
Boulder, CO 80302-5413

Mailing address

PO Box 683
Boulder, CO 80306-0683

National Provider Directory

National Provider Directory

Locations

1905 15th St
#683
Boulder, CO 80302
Phone (805) 679-1921

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": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1386121846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803060683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 15TH ST # 683",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025413",
            "telephone_number": "805-679-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL THERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "JENI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-679-1921",
        "authorized_official_credential": "PHDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "20181568363",
            "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 Jun 26, 2019; 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.