Green Space Cooperative LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GREEN SPACE COOPERATIVE LTD

Doing business as

Green Space Co-Op Therapy

Practice address

1942 Broadway Ste 314C
Boulder, CO 80302-5233

Phone

(719) 286-0059

NPI assigned

Oct 27, 2023

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jade Phinn, LSW

Title

Ceo

Phone

(719) 286-0058

Specialties & licenses 1

Addresses

Other names 1

• Green Space Co-Op Therapy Doing business as

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1790557148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N PEARL ST APT 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 BROADWAY STE 314C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025233",
            "telephone_number": "719-286-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SPACE COOPERATIVE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "PHINN",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-286-0058",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Space Co-Op Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 27, 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.