Individual provider Active NPI

Laurie M. Branch, M.A., L.P.C., CACIII

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1629254198
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 1434 Issued in CO
Practice address
100 Arapahoe Ave Ste 7
Boulder, CO 80302-5862
Phone
(303) 444-7256
Fax
(303) 444-7439
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 1434 CO Primary

Addresses

Primary practice location

100 Arapahoe Ave Ste 7
Boulder, CO 80302-5862

Mailing address

5815 Orchard Creek LN
Boulder, CO 80301-5821
Phone (303) 444-7256

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

LicenseStateTypeSpecialty
LPC 1434COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1629254198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 ORCHARD CREEK LN",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015821",
            "telephone_number": "303-444-7256",
            "fax_number": "303-444-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025862",
            "telephone_number": "303-444-7256",
            "fax_number": "303-444-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "LAURIE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.C., CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC 1434",
            "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 Jan 15, 2008; 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.