NPIMap

Organization Active NPI

Windhorse Elder & Family Care, Inc

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1841813045
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WINDHORSE ELDER & FAMILY CARE, INC
Practice address
6640 Gunpark Dr Ste 100
Boulder, CO 80301-7001
Phone
(303) 786-9313
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Tammy Lea Black, MA, LPC
Title
Clinical Counseling Director
Phone
(303) 390-1645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6640 Gunpark Dr Ste 100
Boulder, CO 80301-7001

Mailing address

6640 Gunpark Dr Ste 100
Boulder, CO 80301-7001
Phone (303) 786-9313

Other names 1

  • Windhorse Elder Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://my.adlware.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1841813045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 GUNPARK DR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803017001",
            "telephone_number": "303-786-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 GUNPARK DR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803017001",
            "telephone_number": "303-786-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHORSE ELDER & FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CLINICAL COUNSELING DIRECTOR",
        "authorized_official_telephone_number": "303-390-1645",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://my.adlware.com/",
            "affiliation": "N",
            "endpointDescription": "WellSky Private Duty",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client files, care plans, point-of-contact notes, etc",
            "address_1": "6640 Gunpark Dr Ste 100",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803017001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Windhorse Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 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.