Matthew Allen
Individual provider Active NPI Mental Health Counselor · Boulder, CO
NPI 1679961981 · NPPES record last updated Jan 8, 2015
Key facts
- NPI
- 1679961981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- NLC0013146 (CO)
- Practice address
- 1200 Yarmouth Ave Unit C-1B
Boulder, CO 80304-4803 - Phone
- (303) 786-9314
- NPI assigned
- Jan 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC0013146 | CO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC0013146 | CO | Yes |
Addresses
Primary practice location
1200 Yarmouth Ave Unit C-1B
Boulder, CO 80304-4803
Mailing address
1200 Yarmouth Ave Unit C-1B
Boulder, CO 80304-4803
Other providers in Boulder, CO
- Alleman Family Dental, P.C.
- Daniel Nathan Alleman
- Chase Wayne Allen
- Laura Allen
- Lori Allen
- Shawn B Allen
- Molly Allendorf
- Elaine Z Allgood
- Alliance Behavioral Services LLC
- Alliance Health of Colorado
All providers in Boulder, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.