Active NPI
Leah S Fox, PSYCHOTHERAPIST
- Clinical Psychologist
- Boulder, CO
National Provider Identifier
1467071720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- NLC.01019982
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.01019982 | CO | MD | Clinical 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.