Active NPI
Amy Keleher, MA
- Professional Counselor
- Boulder, CO
National Provider Identifier
1457069544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2887
- Practice address
- 3445 Penrose PL Ste 240
Boulder, CO 80301-1877 - Phone
- (303) 271-3589
- NPI assigned
- Nov 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2887 | CO | Primary |
Addresses
Primary practice location
3445 Penrose PL Ste 240
Boulder, CO 80301-1877
Mailing address
8337 Niwot Meadow Farm Rd
Niwot, CO 80503-4620
Phone (720) 291-4606
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2887 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1457069544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8337 NIWOT MEADOW FARM RD",
"city": "NIWOT",
"state": "CO",
"postal_code": "805034620",
"telephone_number": "720-291-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 PENROSE PL STE 240",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011877",
"telephone_number": "303-271-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELEHER",
"first_name": "AMY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2887",
"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 Nov 8, 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.