Individual provider Active NPI

Lindsey Wilkinson, LPCC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1669028619
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0016281 Issued in CO
Practice address
825 S Broadway St Ste 200
Boulder, CO 80305-5964
Phone
(720) 460-1362
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0016281 CO Primary

Addresses

Primary practice location

825 S Broadway St Ste 200
Boulder, CO 80305-5964

Mailing address

PO Box 3482
Nederland, CO 80466-3304
Phone (303) 817-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320003983 CO Practitioner - Mental Health Counselor 1658718036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

825 S Broadway St
Suite 12
Boulder, CO 80305-5932
Phone (720) 460-1362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016281COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsey Wilkinson LLC Professional CurrentSince Mar 13, 2024 Accepting new patients

Locations

825 S Broadway St
Ste 12
Boulder, CO 80305
Phone (303) 817-5540

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1669028619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3482",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804663304",
            "telephone_number": "303-817-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S BROADWAY ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055964",
            "telephone_number": "720-460-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "LINDSEY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0016281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.