Julie Ann Moinicken, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0017734 Issued in CO

Practice address

1500 28TH St
Boulder, CO 80303-1002

Phone

(720) 810-2355

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1407576416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031002",
            "telephone_number": "720-810-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031002",
            "telephone_number": "720-810-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINICKEN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoinicken@coloradowomensenter.com",
            "affiliation": "Y",
            "affiliationName": "Therapy and Counseling for Women LLC",
            "address_1": "1500 28th St",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803031002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Justine Moffett
• Lisa Emblen Moffitt
• Mohammad Karbassi, M.D., P.C.
• Ania Maria Mohelicki, D.D.S
• Nathaniel Mohler, DACM, LAC
• Shiraz Moinuddin, M.D.
• Julie Mol
• Sarah Moley, L.AC.,MSAC,MA PSYCH
• Mildred Molina-Gutierrez
• Timothy Moller, D.C.

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.