Active NPI
Ayal Jonathan Hausfeld, M.A.
- Professional Counselor
- Boulder, CO
National Provider Identifier
1467690776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0006375
- Practice address
- 1495 Oak PL
Boulder, CO 80304-1248 - Phone
- (720) 684-8654
- NPI assigned
- Jan 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 0006375 | CO | Primary |
Addresses
Primary practice location
1495 Oak PL
Boulder, CO 80304-1248
Mailing address
1495 Oak PL
Boulder, CO 80304-1248
Phone (720) 684-8654
Other practice location 1
1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500
Other practice location 2
255 Canyon Blvd Ste 200
Boulder, CO 80302-4954
Phone (720) 684-8654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43187722 | Medicaid | CO |
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 |
|---|---|---|---|
| 0006375 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1467690776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 OAK PL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041248",
"telephone_number": "720-684-8654",
"fax_number": "720-638-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 OAK PL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041248",
"telephone_number": "720-684-8654"
}
],
"practiceLocations": [
{
"address_1": "1333 Iris Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803042226",
"country_code": "US",
"telephone_number": "303-443-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 Canyon Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803024954",
"country_code": "US",
"telephone_number": "720-684-8654",
"fax_number": "720-638-3699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUSFELD",
"first_name": "AYAL",
"middle_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-23",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0006375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43187722",
"state": "CO"
}
],
"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 Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.