Organization Active NPI

Genesa Falcao Psychotherapy PLLC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1841789526
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012470 Issued in CO
Legal business name
GENESA FALCAO PSYCHOTHERAPY PLLC
Practice address
1800 30TH St Ste 207
Boulder, CO 80301-1026
Phone
(720) 582-3570
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Genesa Falcao, LPC
Title
LPC
Phone
(301) 221-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0012470 CO Primary

Addresses

Primary practice location

1800 30TH St Ste 207
Boulder, CO 80301-1026

Mailing address

4965 Twin Lakes Rd Apt 72
Boulder, CO 80301-3892
Phone (301) 221-4472

Other practice location 1

2945 Center Green Ct # H208
Boulder, CO 80301-2359
Phone (720) 582-3570

Other identifiers 1

IdentifierTypeStateIssuer
0012470OtherCOSTATE OF COLORADO

National Provider Directory

National Provider Directory

Locations

2945 Center Green Ct
#H208
Boulder, CO 80301
Phone (720) 582-3570

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1841789526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 TWIN LAKES RD APT 72",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013892",
            "telephone_number": "301-221-4472",
            "fax_number": "833-575-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011026",
            "telephone_number": "720-582-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Center Green Ct # H208",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012359",
            "country_code": "US",
            "telephone_number": "720-582-3570",
            "fax_number": "833-575-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESA FALCAO PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "FALCAO",
        "authorized_official_first_name": "GENESA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "301-221-4472",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "0012470",
            "state": "CO"
        }
    ],
    "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 May 8, 2018; 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.