Individual provider Active NPI

Lauren Pass Erickson, MA, LPC

  • Counselor
  • Boulder, CO
National Provider Identifier
1386257699
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC0019080 Issued in CO
Practice address
2955 Valmont Rd. #130
Boulder, CO 80301
Phone
(401) 307-3449
NPI assigned
Aug 26, 2020
Reactivated
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC0019080 CO Primary
Counselor 101Y00000X

Addresses

Primary practice location

2955 Valmont Rd. #130
Boulder, CO 80301

Mailing address

2955 Valmont Rd. #130
Boulder, CO 80301
Phone (401) 307-3449

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren@naturalembodiment.org

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

State licenses

LicenseStateTypeSpecialty
LPC0019080COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Embodiment LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

2955 Valmont Rd
Ste 130
Boulder, CO 80301
Phone (303) 501-9572

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1386257699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD. #130",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80301",
            "telephone_number": "401-307-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD. #130",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80301",
            "telephone_number": "401-307-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS ERICKSON",
        "first_name": "LAUREN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2024-07-16",
        "certification_date": "2020-08-26",
        "deactivation_date": "2020-08-26",
        "reactivation_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC0019080",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@naturalembodiment.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "640 Arapahoe Ave Apt 6",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803025920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 16, 2024; 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.