NPIMap

Organization Active NPI

The Other Road Counseling PLLC

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1639941271
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE OTHER ROAD COUNSELING PLLC
Practice address
1800 30TH St Ste 207
Boulder, CO 80301-1026
Phone
(970) 217-2486
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Mallorie Danielle SmolenNPI 1346597887
Title
Owner/LCSW
Phone
(970) 573-1655

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1800 30TH St Ste 207
Boulder, CO 80301-1026

Mailing address

2004 W 15TH St Ste 2
Loveland, CO 80538-3551

National Provider Directory

National Provider Directory
Tax ID family
The Other Road Counseling PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1800 30th St
Ste 207
Boulder, CO 80301
Phone (303) 946-6070

1800 30th St
Ste 2
Boulder, CO 80301

Practitioners & affiliated clinicians

Practitioners 3

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": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1639941271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 W 15TH ST STE 2",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011026",
            "telephone_number": "970-217-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OTHER ROAD COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SMOLEN",
        "authorized_official_first_name": "MALLORIE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "970-573-1655"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 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.