Individual provider Active NPI

Laura Jean Boe, MA

  • Mental Health Counselor
  • Durango, CO
National Provider Identifier
1780865154
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0012355 Issued in CO
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

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
171869COMDRegistered Nurse
0000026COMDNaturopath
0012355COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Naturopathic Registered Nurse Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.