Individual provider Active NPI

Leah S Fox, PSYCHOTHERAPIST

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1467071720
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
NLC.01019982 Issued in CO
Practice address
100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854
Phone
(720) 442-0946
Fax
(720) 573-4926
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NLC.01019982 CO Primary

Addresses

Primary practice location

100 Arapahoe Ave Ste 9
Boulder, CO 80302-5854

Mailing address

3440 17TH St
Boulder, CO 80304-1822
Phone (352) 215-4969

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.wholeconnection.org/

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

State licenses

LicenseStateTypeSpecialty
NLC.01019982COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1467071720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 17TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041822",
            "telephone_number": "352-215-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 9",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "720-442-0946",
            "fax_number": "720-573-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "LEAH",
        "middle_name": "S",
        "credential": "PSYCHOTHERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "NLC.01019982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.wholeconnection.org/",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "100 Arapahoe Ave Ste 9",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803025854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 15, 2020; 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.