Soulma LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOULMA LLC

Practice address

1650 38TH St Ste 100
Boulder, CO 80301-2623

Phone

(928) 202-8173

NPI assigned

Nov 20, 2021

Organization subpart

No

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

Authorized official

Name

Dana Tsyconyea Starbyrd, LMHC, LMT

Title

Founder

Phone

(928) 202-8173

Specialties & licenses 6

Addresses

Other names 1

• SoulMa Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Tsyconyea Starbyrd, LMHC, ATR-P, LMT, HT

  • Art Therapist
  • Longmont, CO
  • NPI 1104447093
  NPD

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1477210862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012623",
            "telephone_number": "928-202-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012623",
            "telephone_number": "928-202-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-20",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "TSYCONYEA STARBYRD",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "928-202-8173",
        "authorized_official_credential": "LMHC, LMT"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoulMa Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Michael Soucy, M.A.
• Maureen Soucy, LPN
• Olivia Soukup
• Soul Shine, LLC
• Soulbrite OT LLC
• Soulterra Cousnseling P.L.L.C
• Source Psychiatry, PC
• South Boulder Healing Center PLLC
• South Boulder Pediatric Dentistry
• Jeffrey Aaron South, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.