Boulder and the Pine Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BOULDER AND THE PINE WELLNESS

Practice address

4570 Hilton Pkwy Ste 104
Colorado Springs, CO 80907-3565

Phone

(719) 445-6569

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Adrienne Anne Gorlen, LPCNPI 1407371362

Title

Licensed Professional Counselor

Phone

(197) 445-6569

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrienne Gorlen, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1407371362
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1699390393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 N ACADEMY BLVD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183696",
            "telephone_number": "719-445-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073565",
            "telephone_number": "719-445-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER AND THE PINE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "GORLEN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "197-445-6569",
        "authorized_official_credential": "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": "NPPES",
            "identifier": "1407371362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Elizabeth Smith Bouchard, NP-C
• Donya Joanne Boudeman, LPC
• Anthony Boudreau, AGPCNP
• Katherine Boudreaux, PHARM. D.
• Susan L Boudreaux, LMFT
• Julia Boulton, LPC
• Mark Boulware, M.D.
• Boundless Compassion LLC
• Alison Elizabeth Bounds, RBT
• Roxanne Bourassa

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.