Individual provider Active NPI

Alec Farbman

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1417558107
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0018697 Issued in CO
Practice address
123 Green Meadow LN
Boulder, CO 80302-9421
Phone
(720) 306-1411
NPI assigned
Nov 8, 2020
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0018697 CO Primary

Addresses

Primary practice location

123 Green Meadow LN
Boulder, CO 80302-9421

Mailing address

123 Green Meadow LN
Boulder, CO 80302-9421
Phone (720) 306-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430003881 CO Practitioner - Mental Health Counselor 7517307051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healingquest LLPGroup PAC ID 3072956887, 8 clinicians

Practice addresses (Care Compare)

3434 47TH St
Suite 130
Boulder, CO 80301-1802
Phone 3032252708100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healingquest LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

3434 47th St
Ste 130
Boulder, CO 80301
Phone (303) 225-2708

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1417558107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GREEN MEADOW LN",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029421",
            "telephone_number": "720-306-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GREEN MEADOW LN",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029421",
            "telephone_number": "720-306-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBMAN",
        "first_name": "ALEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-08",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.