Marian Salley LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARIAN SALLEY LCSW LLC

Doing business as

Pheral Psychotherapy

Practice address

2299 Pearl St Ste 400F
Boulder, CO 80302-4673

Phone

(303) 859-2611

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Marian Salley, LCSW LAC CGP ACSNPI 1538477351

Title

Owner

Phone

(303) 859-2611

Specialties & licenses 2

Addresses

Other names 1

• Pheral Psychotherapy Doing business as

Locations

Practitioners 1

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

• Marian Salley, LCSW LAC CGP ACS

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1538477351

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1790268191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 HOLIDAY DR UNIT 103",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042361",
            "telephone_number": "303-859-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 PEARL ST STE 400F",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024673",
            "telephone_number": "303-859-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN SALLEY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SALLEY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-859-2611",
        "authorized_official_credential": "LCSW LAC CGP ACS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pheral Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcy Mullet LPC LLC
• Karolina Marecki
• Jetha Marek, MSW
• Maren Benevento LCSW LLC
• Rebecca Maret, L.AC.
• Regina Anne Marian, R.N., M.A.
• Alicia Rose Marie, RN
• Marilyn Dougherty MD., PC.
• Ashley Marin, LPC
• Don P Marinelli, PH.D

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.