NPIMap

Organization Active NPI

Embodied Essence, PLLC

Doing business as True Essence Therapy, PLLC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1609566496
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMBODIED ESSENCE, PLLC
Doing business as
True Essence Therapy, PLLC
Practice address
737 29TH St Ste 102a
Boulder, CO 80303-2317
Phone
(720) 772-1606
NPI assigned
May 15, 2023
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Leah Staller, LPC, LAC, ATR-BCNPI 1114449717
Title
Employee, Founder, Therapist
Phone
(541) 951-6059

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

737 29TH St Ste 102a
Boulder, CO 80303-2317

Mailing address

3587 Nyland Way
Lafayette, CO 80026-8946
Phone (720) 772-1606

Other names 1

  • True Essence Therapy, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Embodied Essence PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

737 29th St
Ste 102A
Boulder, CO 80303
Phone (720) 526-3752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1609566496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 NYLAND WAY",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268946",
            "telephone_number": "720-772-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 29TH ST STE 102A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032317",
            "telephone_number": "720-772-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED ESSENCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "STALLER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "EMPLOYEE, FOUNDER, THERAPIST",
        "authorized_official_telephone_number": "541-951-6059",
        "authorized_official_credential": "LPC, LAC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Essence Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2023; 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.