Neuroagility, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3412 Issued in CO

Legal business name

NEUROAGILITY, PC

Practice address

2501 Walnut St Ste 205
Boulder, CO 80302-5753

Phone

(303) 417-1797

Fax

(303) 442-1125

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By 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

Ms. Kerri Honaker, LPCNPI 1356950935

Title

Director

Phone

(303) 417-1797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerri Honaker, LPC

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1356950935
  NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811038326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025753",
            "telephone_number": "303-417-1797",
            "fax_number": "303-442-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025753",
            "telephone_number": "303-417-1797",
            "fax_number": "303-442-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROAGILITY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONAKER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-417-1797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "3412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.