Individual provider Active NPI

Gianna Gariglietti, LPC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1730104688
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0017296 Issued in CO
Practice address
825 S Broadway St
Boulder, CO 80305-5963
Phone
(720) 507-5177
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2387 KS
Professional Counselor 101YP2500X 0701003510 VA
Mental Health Counselor 101YM0800X 0017296 CO Primary

Addresses

Primary practice location

825 S Broadway St
Boulder, CO 80305-5963

Mailing address

PO Box 422
Masonville, CO 80541-0422
Phone (913) 802-8180

Other identifiers 1

IdentifierTypeStateIssuer
0101845045MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731002181 CO Practitioner - Mental Health Counselor 0547527509 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2387KSMDMental Health Counselor
0701003510VAMDProfessional Counselor
0017296COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Noma Therapy of Colorado PC CurrentSince Jul 3, 2024 Accepting new patients
Lunar Psychotherapy Mental Health CurrentSince Jan 26, 2025 Accepting new patients

Locations

825 S Broadway St
Boulder, CO 80305
Phone (303) 440-0952

2205 W 136th Ave
#106146
Broomfield, CO 80023

7535 E Hampden Ave
#407
Denver, CO 80231
Phone (303) 578-2702

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1730104688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "MASONVILLE",
            "state": "CO",
            "postal_code": "805410422",
            "telephone_number": "913-802-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055963",
            "telephone_number": "720-507-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIGLIETTI",
        "first_name": "GIANNA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2387",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003510",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101845045",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.