Organization Active NPI

Bohique Counseling

  • Professional Counselor
  • Thornton, CO
National Provider Identifier
1548619620
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0011436 Issued in CO
Legal business name
BOHIQUE COUNSELING
Practice address
12021 Pennsylvania St Ste 202
Thornton, CO 80241-3152
Phone
(720) 298-9391
Fax
(844) 593-1511
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Authorized official

Name
Dianelyris Melendez Ronda, LPCNPI 1346573375
Title
Counselor
Phone
(720) 298-9391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0011436 CO Primary

Addresses

Primary practice location

12021 Pennsylvania St Ste 202
Thornton, CO 80241-3152

Mailing address

1312 17TH St # 1344
Denver, CO 80202-1508
Phone (720) 298-9391

Other identifiers 4

IdentifierTypeStateIssuer
1046651MedicaidCO
05561816MedicaidCO
29787521MedicaidCO
70635048MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1548619620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 17TH ST # 1344",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021508",
            "telephone_number": "720-298-9391",
            "fax_number": "844-593-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 PENNSYLVANIA ST STE 202",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413152",
            "telephone_number": "720-298-9391",
            "fax_number": "844-593-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHIQUE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ RONDA",
        "authorized_official_first_name": "DIANELYRIS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "720-298-9391",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0011436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046651",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05561816",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29787521",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70635048",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.