Active NPI
Laura Jean Boe, MA
- Mental Health Counselor
- Durango, CO
National Provider Identifier
1780865154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0012355
- Practice address
- 545 E 31St St
Durango, CO 81301-4335 - Phone
- (970) 799-8961
- NPI assigned
- Nov 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 171869 | CO | |
| Mental Health Counselor | 101YM0800X | 0012355 | CO | Primary |
| Naturopath | 175F00000X | 0000026 | CO |
Addresses
Primary practice location
545 E 31St St
Durango, CO 81301-4335
Mailing address
48 County Road 250
Suite 7
Durango, CO 81301-8848
Phone (970) 422-1899
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 |
|---|---|---|---|
| 171869 | CO | MD | Registered Nurse |
| 0000026 | CO | MD | Naturopath |
| 0012355 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Naturopathic | Registered Nurse | Past | Accepting new patients |
Interoperability endpoints
- laura.boe.p1@direct.ahs.nextgenshare.com
Organizations & group practices 1
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": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1780865154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 COUNTY ROAD 250",
"address_2": "SUITE 7",
"city": "DURANGO",
"state": "CO",
"postal_code": "813018848",
"telephone_number": "970-422-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 E 31ST ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014335",
"telephone_number": "970-799-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOE",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "171869",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0012355",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CO",
"license": "0000026",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.