Organization Active NPI

Soulterra Cousnseling P.L.L.C

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1629859566
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOULTERRA COUSNSELING P.L.L.C
Practice address
1509 Foster CT
Longmont, CO 80501-6713
Phone
(303) 332-1037
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Stephanie Jane Boulton, MA LPC
Title
Owner/Professional Counselor
Phone
(801) 872-8030

Specialties & licenses 1

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

Addresses

Primary practice location

1509 Foster CT
Longmont, CO 80501-6713

Mailing address

1509 Foster CT
Longmont, CO 80501-6713
Phone (303) 332-1037

Other identifiers 1

IdentifierTypeStateIssuer
1447911201OtherCONPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com

National Provider Directory

National Provider Directory
Tax ID family
Soulterra Cousnseling PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1629859566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 FOSTER CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016713",
            "telephone_number": "303-332-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 FOSTER CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016713",
            "telephone_number": "303-332-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULTERRA COUSNSELING P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "BOULTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "801-872-8030",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447911201",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "address_1": "1509 Foster Ct",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805016713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.