Organization Active NPI

Resilience Therapy LLC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1740780238
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012056 Issued in CO
Legal business name
RESILIENCE THERAPY LLC
Practice address
2945 Center Green CT # G211
Boulder, CO 80301-2359
Phone
(541) 513-7769
Fax
(541) 513-7769
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Katie MarkleyNPI 1295032530
Title
Owner/Opperator
Phone
(541) 513-7769

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X ACD.0000697 CO
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC.0012056 CO Primary

Addresses

Primary practice location

2945 Center Green CT # G211
Boulder, CO 80301-2359

Mailing address

655 Snowberry St
Longmont, CO 80503-7365
Phone (541) 513-7769

National Provider Directory

National Provider Directory

Locations

2945 Center Green Ct
#G211
Boulder, CO 80301
Phone (541) 513-7769

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1740780238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SNOWBERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037365",
            "telephone_number": "541-513-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 CENTER GREEN CT # G211",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012359",
            "telephone_number": "541-513-7769",
            "fax_number": "541-513-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "MARKLEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER/OPPERATOR",
        "authorized_official_telephone_number": "541-513-7769"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000697",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012056",
            "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, 2018; 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.