Organization Active NPI

Soul Alchemy LLC

  • Community/Behavioral Health Agency
  • Aurora, CO
National Provider Identifier
1639607633
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUL ALCHEMY LLC
Practice address
14231 E 4TH Ave Ste 370
Aurora, CO 80011-8720
Phone
(720) 418-9492
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Lucia E Fellers, YI, ACHE HCNPI 1912435918
Title
Yoga Instructor and Life Coach
Phone
(720) 418-9492

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Prison Health Clinic/Center 261QP2400X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

14231 E 4TH Ave Ste 370
Aurora, CO 80011-8720

Mailing address

9341 Teller St
Westminster, CO 80021-4812
Phone (303) 420-0581

Other identifiers 1

IdentifierTypeStateIssuer
1912435918MedicaidCO

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": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1639607633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9341 TELLER ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214812",
            "telephone_number": "303-420-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 E 4TH AVE STE 370",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118720",
            "telephone_number": "720-418-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL ALCHEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FELLERS",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "YOGA INSTRUCTOR AND LIFE COACH",
        "authorized_official_telephone_number": "720-418-9492",
        "authorized_official_credential": "YI, ACHE HC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912435918",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.