Active NPI
Nan E Hebert, MA, PHD(C), LPCC
- Counseling Psychologist
- Boulder, CO
National Provider Identifier
1710685706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0018948
- Practice address
- 1630 Spruce St
Boulder, CO 80302-4218 - Phone
- (917) 723-4449
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0018948 | CO | Primary |
Addresses
Primary practice location
1630 Spruce St
Boulder, CO 80302-4218
Mailing address
1630 Spruce St
Boulder, CO 80302-4218
Phone (917) 723-4449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0018948 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1710685706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 SPRUCE ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024218",
"telephone_number": "917-723-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 SPRUCE ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024218",
"telephone_number": "917-723-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "NAN",
"middle_name": "E",
"credential": "MA, PHD(C), LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "0018948",
"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 Feb 20, 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.