Active NPI
Mark Swart, MA
- Professional Counselor
- Boulder, CO
National Provider Identifier
1487935011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13600
- Practice address
- 4150 Darley Ave Ste 6
Boulder, CO 80305-6537 - Phone
- (720) 441-2850
- NPI assigned
- Sep 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | 13600 | CO | |
| Professional Counselor | 101YP2500X | 13600 | CO | Primary |
Addresses
Primary practice location
4150 Darley Ave Ste 6
Boulder, CO 80305-6537
Mailing address
PO Box 280
Crestone, CO 81131-0280
Phone (720) 441-2850
Other practice location 1
1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500
Other practice location 2
1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500
Other practice location 3
5330 Manhattan Cir Ste H
Boulder, CO 80303-4240
Phone (720) 536-5571
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 |
|---|---|---|---|
| 13600 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Radiance LLC | Current | Accepting new patients |
Locations
4150 Darley Ave
Ste 6
Boulder, CO 80305
Phone (303) 499-5000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Boulder, CO
- NPI 1093315277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1487935011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "CRESTONE",
"state": "CO",
"postal_code": "811310280",
"telephone_number": "720-441-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DARLEY AVE STE 6",
"city": "BOULDER",
"state": "CO",
"postal_code": "803056537",
"telephone_number": "720-441-2850"
}
],
"practiceLocations": [
{
"address_1": "1333 Iris Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803042226",
"country_code": "US",
"telephone_number": "303-443-8500",
"fax_number": "303-449-6029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1333 Iris Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803042226",
"country_code": "US",
"telephone_number": "303-443-8500",
"fax_number": "303-449-6029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5330 Manhattan Cir Ste H",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803034240",
"country_code": "US",
"telephone_number": "720-536-5571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWART",
"first_name": "MARK",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "13600",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "13600",
"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 Oct 28, 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.