Jedediah Bopp, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2299 Pearl St Ste 400
Boulder, CO 80302-4673

Phone

(303) 523-0439

NPI assigned

Jun 28, 2011

Last updated

Feb 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1457647422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 PEARL ST STE 400",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024673",
            "telephone_number": "303-523-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 PEARL ST STE 400",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024673",
            "telephone_number": "303-523-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPP",
        "first_name": "JEDEDIAH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Jennifer Bonvillian, DC
• Hilary Booco
• Geremi Boom, PHARMD
• Sue Boorman
• Juli Renee Booton, PT
• Kerry Borcherding, MA, LPC
• Amber Denise Borcherdt, LMT
• Jorge Enrique Borda, M.A.
• Jack Arthur Borker
• Karen Borman, DC

• 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 Feb 17, 2016; 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.