Judith Cass Halloran, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4508 Issued in CO

Practice address

1501 Yarmouth Ave
Boulder, CO 80304-0564

Phone

(303) 786-9314

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 2, 2024 through Apr 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Windhorse Community Services

  • Community/Behavioral Health Agency
  • Boulder, CO
  • NPI 1669650065
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1710036132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 BETTS CIR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167518",
            "telephone_number": "303-522-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 YARMOUTH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040564",
            "telephone_number": "303-786-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "JUDITH",
        "middle_name": "CASS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Marie Hall
• Chauna L Hall, RN
• Jacqueline Halladay, R.N.
• Megan Storey Hallam, ED.D
• Anna Hallinan, LCSW
• Erin Lea Hallstrom, LAC
• Lisa F Halperin, M.D.
• Eve Halpern, MA, LPC
• Katie Anne Halverstadt, RN, IBCLC
• Laura Halverstadt

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.