Active NPI
Crista L Studer, MS, LPC, RDN, CEDS-S
- Mental Health Counselor
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701008078
- Practice address
- 1942 Broadway Ste 314C
Boulder, CO 80302-5233 - Phone
- (330) 703-0435
- NPI assigned
- Dec 18, 2018
- Last updated
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701008078 | VA | Primary |
| Mental Health Counselor | 101YM0800X | LPC.0016174 | CO | |
| Mental Health Counselor | 101YM0800X | |||
| Registered Dietitian | 133V00000X | 1044620 | ||
| Registered Dietitian | 133V00000X | DI100000451 | DC |
Addresses
Primary practice location
1942 Broadway Ste 314C
Boulder, CO 80302-5233
Mailing address
808 S Arlington Mill Dr Apt 204
Arlington, VA 22204-6019
Other practice location 1
808 S Arlington Mill Dr Apt 204
Arlington, VA 22204-6019
Phone (720) 335-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 13, 2024 through Mar 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016174 | CO | MD | Mental Health Counselor |
| 0701008078 | VA | MD | Mental Health Counselor |
| DI100000451 | DC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Serenity Counseling & Nutrition LLC | Mental Health | Current | Accepting new patients |
Locations
1942 Broadway
Ste 314C
Boulder, CO 80302
Phone (719) 203-1465
1530 Wilson Blvd
Ste 650
Arlington, VA 22209
Phone (571) 267-2325
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.
-
- Mental Health Counselor
- Boulder, CO
- NPI 1457978900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1437621265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S ARLINGTON MILL DR APT 204",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222046019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1942 BROADWAY STE 314C",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025233",
"telephone_number": "330-703-0435"
}
],
"practiceLocations": [
{
"address_1": "808 S Arlington Mill Dr Apt 204",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222046019",
"country_code": "US",
"telephone_number": "720-335-5880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUDER",
"first_name": "CRISTA",
"middle_name": "L",
"credential": "MS, LPC, RDN, CEDS-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701008078",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0016174",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1044620",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI100000451",
"primary": false
}
],
"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 Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.