Organization Active NPI

Umbrella Collective Inc

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1437880200
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UMBRELLA COLLECTIVE INC
Practice address
1443 Spruce Street
Boulder, CO 80302-4814
Phone
(720) 663-0163
Fax
(303) 658-9871
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Li Brookens, LCSWNPI 1902228059
Title
Owner
Phone
(720) 663-0163

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1443 Spruce Street
Boulder, CO 80302-4814

Mailing address

2919 Valmont Road
Suite 104
Boulder, CO 80301-1350
Phone (720) 663-0163

National Provider Directory

National Provider Directory
Tax ID family
Umbrella Collective Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1437880200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 VALMONT ROAD",
            "address_2": "SUITE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011350",
            "telephone_number": "720-663-0163",
            "fax_number": "303-658-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 SPRUCE STREET",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024814",
            "telephone_number": "720-663-0163",
            "fax_number": "303-658-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLA COLLECTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "BROOKENS",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-663-0163",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 22, 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.