Active NPI
Lodi Siefer
- Professional Counselor
- Boulder, CO
National Provider Identifier
1467698688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6311
- Practice address
- 75 Manhattan Dr
Suite 206
Boulder, CO 80303-4254 - Phone
- (303) 396-7505
- NPI assigned
- Dec 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 6311 | CO | Primary |
Addresses
Primary practice location
75 Manhattan Dr
Suite 206
Boulder, CO 80303-4254
Mailing address
75 Manhattan Dr
Suite 206
Boulder, CO 80303-4254
Phone (303) 396-7505
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 |
|---|---|---|---|
| 6311 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1467698688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MANHATTAN DR",
"address_2": "SUITE 206",
"city": "BOULDER",
"state": "CO",
"postal_code": "803034254",
"telephone_number": "303-396-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MANHATTAN DR",
"address_2": "SUITE 206",
"city": "BOULDER",
"state": "CO",
"postal_code": "803034254",
"telephone_number": "303-396-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEFER",
"first_name": "LODI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2015-02-04",
"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": "6311",
"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 Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.