Organization Active NPI

Earth and Sky Psychotherapy LLC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1790037117
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5892 Issued in CO
Legal business name
EARTH AND SKY PSYCHOTHERAPY LLC
Practice address
75 Manhattan Dr Ste 304
Boulder, CO 80303-4253
Phone
(303) 641-6773
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Monique Rees, LPCNPI 1982955738
Title
Psychotherapist
Phone
(303) 641-6773

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5892 CO Primary

Addresses

Primary practice location

75 Manhattan Dr Ste 304
Boulder, CO 80303-4253

Mailing address

605 S 43Rd St
Boulder, CO 80305-6011
Phone (303) 641-6773

National Provider Directory

National Provider Directory

Locations

75 Manhattan Dr
Ste 304
Boulder, CO 80303
Phone (303) 641-6773

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1790037117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S 43RD ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056011",
            "telephone_number": "303-641-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR STE 304",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034253",
            "telephone_number": "303-641-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH AND SKY PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-641-6773",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5892",
            "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 Oct 9, 2012; 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.