Organization Active NPI

Free to Be Therapy PLLC

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1720846975
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FREE TO BE THERAPY PLLC
Practice address
4859 Kings Ridge Blvd
Boulder, CO 80301-5434
Phone
(303) 437-5128
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Eva Jones, LCSWNPI 1770222663
Title
Owner/Sole Practitioner
Phone
(303) 437-5128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4859 Kings Ridge Blvd
Boulder, CO 80301-5434

Mailing address

4859 Kings Ridge Blvd
Boulder, CO 80301-5434
Phone (303) 437-5128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1720846975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 KINGS RIDGE BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015434",
            "telephone_number": "303-437-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 KINGS RIDGE BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015434",
            "telephone_number": "303-437-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE TO BE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OWNER/SOLE PRACTITIONER",
        "authorized_official_telephone_number": "303-437-5128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Mar 12, 2024; 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.